Organization Active NPI

Childrens Rehabilitation Clinic

  • Rehabilitation Clinic/Center
  • Weslaco, TX
National Provider Identifier
1104124346
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Jan 9, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.