Organization Active NPI

Centro Terapia Fisica Rexville, Inc

  • Physical Therapy Clinic/Center
  • Bayamon, PR
National Provider Identifier
1104039841
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
562 Issued in PR
Legal business name
CENTRO TERAPIA FISICA REXVILLE, INC
Practice address
BC7 Calle 33
Rexville
Bayamon, PR 00957-4144
Phone
(787) 306-3229
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Olga I Jimenez-MontNPI 1588877211
Title
Administrator
Phone
(787) 306-3229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 562 PR Primary

Addresses

Primary practice location

BC7 Calle 33
Rexville
Bayamon, PR 00957-4144

Mailing address

RR 4 Box 26936
Toa Alta, PR 00953-9414

Other identifiers 4

IdentifierTypeStateIssuer
223230OtherPRPREFERRED HEALTH
223230OtherPRUTI
P611OtherPRINT MEDICAL CARD
4141OtherPRAMERICAN HEALTH

National Provider Directory

National Provider Directory

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1104039841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 26936",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BC7 CALLE 33",
            "address_2": "REXVILLE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574144",
            "telephone_number": "787-306-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO TERAPIA FISICA REXVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-MONT",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-306-3229"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "223230",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "223230",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INT MEDICAL CARD",
            "identifier": "P611",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "4141",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.