Organization Active NPI

Rehab 2112, LLC

  • Rehabilitation Clinic/Center
  • Dallas, TX
National Provider Identifier
1093865081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHAB 2112, LLC
Practice address
718 N Buckner Blvd Ste 138
Dallas, TX 75218-2764
Phone
(214) 367-8807
Fax
(214) 367-8864
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Rhudy, DCNPI 1467519710
Title
Chief of Staff
Phone
(214) 378-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

718 N Buckner Blvd Ste 138
Dallas, TX 75218-2764

Mailing address

718 N Buckner Blvd Ste 138
Dallas, TX 75218-2764
Phone (214) 367-8807

National Provider Directory

National Provider Directory

Locations

718 N Buckner Blvd
Ste 138
Dallas, TX 75218
Phone (214) 367-8807

Practitioners & affiliated clinicians

Practitioners 1

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093865081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N BUCKNER BLVD STE 138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182764",
            "telephone_number": "214-367-8807",
            "fax_number": "214-367-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BUCKNER BLVD STE 138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182764",
            "telephone_number": "214-367-8807",
            "fax_number": "214-367-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB 2112, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHUDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "214-378-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.