NPIMap

Organization Active NPI

Go-Go Kids Rehab,LLC

  • Occupational Therapist
  • Edinburg, TX
National Provider Identifier
1104198217
Registry record updated Feb 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
564270000 Issued in TX
Legal business name
GO-GO KIDS REHAB,LLC
Practice address
101 Premiere LN
Edinburg, TX 78542-1932
Phone
(956) 566-0722
Fax
(956) 720-0882
NPI assigned
Feb 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2012

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

Authorized official

Name
Baldemar GarciaNPI 1184810418
Title
Owner/President
Phone
(956) 566-0722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 671930000 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 564270000 TX Primary

Addresses

Primary practice location

101 Premiere LN
Edinburg, TX 78542-1932

Mailing address

912 E Nolana Loop Ste H-I
Pharr, TX 78577-5838
Phone (956) 566-9722

National Provider Directory

National Provider Directory

Locations

912 E Nolana Loop
Ste Hi
Pharr, TX 78577
Phone (956) 502-5717

Practitioners & affiliated clinicians

Practitioners 6

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": "1328313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1104198217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E NOLANA LOOP STE H-I",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775838",
            "telephone_number": "956-566-9722",
            "fax_number": "956-720-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PREMIERE LN",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421932",
            "telephone_number": "956-566-0722",
            "fax_number": "956-720-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO-GO KIDS REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BALDEMAR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-566-0722"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "671930000",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "564270000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.