Organization Active NPI

Rehabilitation Treatment PA

  • Physical Medicine & Rehabilitation Physician
  • McKinney, TX
National Provider Identifier
1114947587
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L3253 Issued in TX
Legal business name
REHABILITATION TREATMENT PA
Practice address
1441 Redbud Blvd
Suite 261
McKinney, TX 75069
Phone
(972) 562-1388
Fax
(972) 562-1344
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mr. Richard N Brown, MDNPI 1609845353
Title
President
Phone
(972) 562-1388

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L3253 TX Primary

Addresses

Primary practice location

1441 Redbud Blvd
Suite 261
McKinney, TX 75069

Mailing address

PO Box 678397
Dallas, TX 75267-8397
Phone (972) 562-1388

Other identifiers 1

IdentifierTypeStateIssuer
155651601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000635 TX Part B Supplier - Clinic/Group Practice 8325001761 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

8855 Synergy Dr
McKinney, TX 75070
Phone (972) 632-3800

1441 Redbud Blvd
Ste 261
McKinney, TX 75069
Phone (972) 562-1388

Practitioners & affiliated clinicians

Practitioners 3

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1114947587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678397",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678397",
            "telephone_number": "972-562-1388",
            "fax_number": "972-562-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 REDBUD BLVD",
            "address_2": "SUITE 261",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-562-1388",
            "fax_number": "972-562-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION TREATMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-562-1388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L3253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155651601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.