Organization Active NPI

Preston Rehabilitation Center

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1093889974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRESTON REHABILITATION CENTER
Practice address
6015 Berkshire LN
Dallas, TX 75225-5705
Phone
(214) 696-3500
Fax
(214) 696-4090
NPI assigned
Nov 20, 2006
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
Steven Luke Ahee, D.C.
Title
Owner
Phone
(214) 696-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X TX Primary

Addresses

Primary practice location

6015 Berkshire LN
Dallas, TX 75225-5705

Mailing address

6015 Berkshire LN
Dallas, TX 75225-5705
Phone (214) 696-3500

Other identifiers 1

IdentifierTypeStateIssuer
0050KXOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6015 Berkshire Ln
Dallas, TX 75225
Phone (214) 696-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093889974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255705",
            "telephone_number": "214-696-3500",
            "fax_number": "214-696-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255705",
            "telephone_number": "214-696-3500",
            "fax_number": "214-696-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHEE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-696-3500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0050KX",
            "state": "TX"
        }
    ],
    "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.