Active NPI
Prestige Physical Therapy & Rehab, LLC
- Rehabilitation Clinic/Center
- Brownsville, TX
National Provider Identifier
1104409366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PRESTIGE PHYSICAL THERAPY & REHAB, LLC
- Practice address
- 556 W Elizabeth St Ste B
Brownsville, TX 78520-6389 - Phone
- (956) 641-4490
- Fax
- (888) 361-5571
- NPI assigned
- May 4, 2021
- 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
- Mrs. Sarah E Mena
- Title
- Ceo
- Phone
- (956) 641-4490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
556 W Elizabeth St Ste B
Brownsville, TX 78520-6389
Mailing address
556 W Elizabeth St
Brownsville, TX 78520-6388
Phone (956) 641-4490
Other names 1
- Prestige Rehab Services
National Provider Directory
National Provider DirectoryLocations
556 W Elizabeth St
Ste B
Brownsville, TX 78520
Phone 860912611800000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Brownsville, TX
- NPI 1942731625
-
- Physician Assistant
- West Lake Hills, TX
- NPI 1932873916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1104409366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 W ELIZABETH ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785206388",
"telephone_number": "956-641-4490",
"fax_number": "956-641-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 W ELIZABETH ST STE B",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785206389",
"telephone_number": "956-641-4490",
"fax_number": "888-361-5571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE PHYSICAL THERAPY & REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-04",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "MENA",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-641-4490",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prestige Rehab Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.