Active NPI
Childrens Rehabilitation Clinic
- Rehabilitation Clinic/Center
- Weslaco, TX
National Provider Identifier
1104124346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- CHILDRENS REHABILITATION CLINIC
- Practice address
- 1620 E 8TH St
Ste. 3
Weslaco, TX 78596-5883 - Phone
- (956) 351-5422
- Fax
- (956) 351-5420
- NPI assigned
- Mar 12, 2011
- 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
- Virgil T Keller
- Title
- Administrator
- Phone
- (956) 351-5422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1620 E 8TH St
Ste. 3
Weslaco, TX 78596-5883
Mailing address
2616 W Freddy Gonzalez Dr
Edinburg, TX 78539-7351
Phone (956) 289-8441
Other names 1
- Children's Rehabilitation Clinic, LLC
National Provider Directory
National Provider DirectoryLocations
2616 W Freddy Gonzalez Dr
Edinburg, TX 78539
Phone (956) 289-8441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1104124346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 W FREDDY GONZALEZ DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397351",
"telephone_number": "956-289-8441",
"fax_number": "956-289-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 E 8TH ST",
"address_2": "STE. 3",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965883",
"telephone_number": "956-351-5422",
"fax_number": "956-351-5420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS REHABILITATION CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-12",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "VIRGIL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-351-5422"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Rehabilitation Clinic, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.