Organization Active NPI

Physical Medicine Rehab, LLC

Doing business as Physical Therapy Consultants

  • Physical Therapist
  • Laredo, TX
National Provider Identifier
1093716078
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1056653 Issued in TX
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

Updated by the provider on Oct 19, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08778Z101MedicaidTX

Other names 1

  • Physical Therapy Consultants Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.