Active NPI
Physical Medicine Rehab, LLC
Doing business as Physical Therapy Consultants
- Physical Therapist
- Laredo, TX
National Provider Identifier
1093716078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1056653
- Legal business name
- PHYSICAL MEDICINE REHAB, LLC
- Doing business as
- Physical Therapy Consultants
- Practice address
- 101 W Hillside Rd
Ste 6-B
Laredo, TX 78041-3141 - Phone
- (956) 725-5212
- Fax
- (956) 796-1117
- NPI assigned
- Aug 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Infante
- Title
- General Manager
- Phone
- (956) 725-5212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1056653 | TX | Primary |
Addresses
Primary practice location
101 W Hillside Rd
Ste 6-B
Laredo, TX 78041-3141
Mailing address
101 W Hillside Rd
Ste 6-B
Laredo, TX 78041-3141
Phone (956) 725-5212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08778Z101 | Medicaid | TX |
Other names 1
- Physical Therapy Consultants
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1093716078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W HILLSIDE RD",
"address_2": "STE 6-B",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413141",
"telephone_number": "956-725-5212",
"fax_number": "956-796-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W HILLSIDE RD",
"address_2": "STE 6-B",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413141",
"telephone_number": "956-725-5212",
"fax_number": "956-796-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL MEDICINE REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "INFANTE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "956-725-5212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1056653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08778Z101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physical Therapy Consultants",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.