North Texas Rehabilitation Center Inc. Eci Program

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

604700000 Issued in TX

Legal business name

NORTH TEXAS REHABILITATION CENTER INC. ECI PROGRAM

Practice address

1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211

Phone

(940) 322-0771

Fax

(940) 766-4943

NPI assigned

Sep 18, 2012

Organization subpart

Yes

Parent organization

NORTH TEXAS REHABILITATION CENTERAs reported in NPPES

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

Authorized official

Name

Saundra Thompson

Title

Credentialing

Phone

(940) 322-0771

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• NORTH TEXAS REHABILITATION CENTER INC. Other name

Tax ID family

North Tex Easter Seal R2 organizations share this tax ID, including this one

Part of

North Tex Easter Seal R

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Texas Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Wichita Falls, TX
  • NPI 1669475885
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North Texas Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Wichita Falls, TX
  • NPI 1669475885
  NPPES parent name

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1104176155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MIDWESTERN PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022211",
            "telephone_number": "940-322-0771",
            "fax_number": "940-766-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MIDWESTERN PKWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022211",
            "telephone_number": "940-322-0771",
            "fax_number": "940-766-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS REHABILITATION CENTER INC. ECI PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS REHABILITATION CENTER",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "940-322-0771"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "604700000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "508250000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111408402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH TEXAS REHABILITATION CENTER INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Texas Discover Hope Clinic PLLC
• North Texas Medical Laboratory
• North Texas Neurology Alliance PLLC
• North Texas Neurology Associates
• North Texas Ophthalmology Associates, PLLC
• North Texas Rehabilitation Center, Inc.
• North Texas State Hospital
• North Texas State Hospital Wichita Falls
• North Texas Surgicenter
• Nosidrah Enterprises, LLC

• Physical Therapist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.