NPIMap

Organization Active NPI

Rehabilitation Group P a

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1083750483
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHABILITATION GROUP P A
Practice address
2701 Babcock Rd
Ste a
San Antonio, TX 78229-4800
Phone
(210) 614-3225
NPI assigned
Jan 30, 2007
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patricia Dziedzic
Title
Office Manager
Phone
(210) 614-3225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

2701 Babcock Rd
Ste a
San Antonio, TX 78229-4800

Mailing address

2701 Babcock Rd
Ste a
San Antonio, TX 78229-4800
Phone (210) 614-3225

Other identifiers 2

IdentifierTypeStateIssuer
00F20LOtherTXBCBS GROUP #
082428601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216001099 TX Part B Supplier - Clinic/Group Practice 4981892981 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2701 Babcock Rd
Ste A
San Antonio, TX 78229
Phone (210) 614-3225

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1083750483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BABCOCK RD",
            "address_2": "STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294800",
            "telephone_number": "210-614-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BABCOCK RD",
            "address_2": "STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294800",
            "telephone_number": "210-614-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "DZIEDZIC",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-614-3225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "00F20L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082428601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.