Active NPI
Rehab 2112, LLC
- Rehabilitation Clinic/Center
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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, 2020
- 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
- Dr. Thomas Rhudy, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Dallas, TX
- NPI 1467519710
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.