Nacogdoches Rehabilitation Group, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1101582 Issued in TX

Legal business name

NACOGDOCHES REHABILITATION GROUP, INC

Practice address

3205 N University Dr
Suite M
Nacogdoches, TX 75965-2683

Phone

(936) 552-7044

Fax

(936) 552-7050

NPI assigned

Sep 8, 2005

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey C Cuevas, PTNPI 1205020047

Title

President

Phone

(936) 552-7044

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Jeffrey C Cuevas, LPT

  • Physical Therapist
  • Nacogdoches, TX
  • NPI 1205020047
  Medicare reassignment NPD Authorized official
• Maria Bella Rita G Cuevas, PT

  • Physical Therapist
  • Nacogdoches, TX
  • NPI 1295756997
  NPD (past)
• Tracy Renee Moss, PT

  • Physical Therapist
  • Lufkin, TX
  • NPI 1700845682
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1164416988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N UNIVERSITY DR",
            "address_2": "SUITE M",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652683",
            "telephone_number": "936-552-7044",
            "fax_number": "936-552-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N UNIVERSITY DR",
            "address_2": "SUITE M",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652683",
            "telephone_number": "936-552-7044",
            "fax_number": "936-552-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES REHABILITATION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-552-7044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1108322",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1101582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5856810001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDOR #",
            "identifier": "0049HV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER / DME#",
            "identifier": "5856810001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5856810001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID/GROU",
            "identifier": "P00016007/DA2661",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170788701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nacogdoches Pediatric Care (Nacogdoches Pediatric Extended Care)
• Nacogdoches Physical Therapy LLC (Nacogdoches Physical Exellence Center)
• Nacogdoches Podiatry PLLC
• Nacogdoches Pulmonary and Sleep Associates PA
• Nacogdoches Radiology Associates
• Nacogdoches Spine PLLC
• Nacogdoches Wellness
• Nacogdoches Wellness PLLC
• Nacogdoches Women's Services, PLLC
• Nacogdoches Womens Center, PLLC

• Physical Therapy Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.