NPIMap

Organization Active NPI

St Davids Healthcare Partnership LP LLP

  • Rehabilitation Clinic/Center
  • Georgetown, TX
National Provider Identifier
1104750355
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP
Practice address
400 Del Webb Blvd Ste 105
Georgetown, TX 78633-4354
Phone
(512) 931-2791
NPI assigned
Jun 11, 2026
Organization subpart
Yes
Parent organization
ST DAVIDS HEALTHCARE PARTNERSHIP LP LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Laura Wiess
Title
Cfo
Phone
(512) 544-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

400 Del Webb Blvd Ste 105
Georgetown, TX 78633-4354

Mailing address

400 Del Webb Blvd Ste 105
Georgetown, TX 78633-4354
Phone (512) 931-2791

Other names 1

  • Sun City Rehabilitation, a department of St. David's Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

National Provider Directory

National Provider Directory
Tax ID family
St Davids Healthcare36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

400 Del Webb Blvd
Ste 105
Georgetown, TX 78633
Phone (512) 931-2791

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1104750355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEL WEBB BLVD STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334354",
            "telephone_number": "512-931-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DEL WEBB BLVD STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334354",
            "telephone_number": "512-931-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "WIESS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-544-5030"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sun City Rehabilitation, a department of St. David's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.