NPIMap

Organization Active NPI

Centre of Physical Rehabilitation

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1164403036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
155903 Issued in TX
Legal business name
CENTRE OF PHYSICAL REHABILITATION
Practice address
2301 Coit Rd
Suite B
Plano, TX 75075-3773
Phone
(972) 599-9191
Fax
(972) 599-2323
NPI assigned
Nov 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Prof. Serge Bruno Saithsoothane, P.T.NPI 1295866002
Title
Clinic Director and Owner
Phone
(972) 599-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 155903 TX Primary

Addresses

Primary practice location

2301 Coit Rd
Suite B
Plano, TX 75075-3773

Mailing address

2301 Coit Rd
Suite B
Plano, TX 75075-3773
Phone (972) 599-9191

Other identifiers 3

IdentifierTypeStateIssuer
8T0895OtherTXBCBS PROVIDER ID
0027019OtherTXBLUE LINK NUMBER
00000093JNOtherTXBCBS GROUP PROVIDER ID

National Provider Directory

National Provider Directory

Locations

2301 Coit Rd
Ste B
Plano, TX 75075
Phone (972) 599-9191

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164403036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COIT RD",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COIT RD",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE OF PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAITHSOOTHANE",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "BRUNO",
        "authorized_official_title_or_position": "CLINIC DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "972-599-9191",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "155903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8T0895",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK NUMBER",
            "identifier": "0027019",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER ID",
            "identifier": "00000093JN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.