NPIMap

Organization Active NPI

Thera-Care Rehab Services, PLLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mission, TX
National Provider Identifier
1164450771
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
THERA-CARE REHAB SERVICES, PLLC
Practice address
7600 W Expressway 83 Ste 4&5
Mission, TX 78572-2063
Phone
(956) 581-7171
Fax
(956) 581-7178
NPI assigned
Jun 30, 2006
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Mrs. Annie Marie Castillo Esguerra, PT, DPTNPI 1588722359
Title
Cfo
Phone
(956) 227-2110

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
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

7600 W Expressway 83 Ste 4&5
Mission, TX 78572-2063

Mailing address

2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone (956) 519-2700

Other identifiers 3

IdentifierTypeStateIssuer
0093LKOtherTXBCBS
7056829OtherTXAETNA
161766402MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030922000020 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9436060522 Practice locations: Mission, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Thera Care Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2504 E Griffin Pkwy
Mission, TX 78572
Phone (956) 519-2700

7600 W Expressway 83
Ste 4
Mission, TX 78572

7600 W Expressway 83
Ste 5
Mission, TX 78572
Phone (956) 581-7171

Practitioners & affiliated clinicians

Practitioners 10

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1164450771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-519-2700",
            "fax_number": "956-519-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W EXPRESSWAY 83 STE 4&5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722063",
            "telephone_number": "956-581-7171",
            "fax_number": "956-581-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-CARE REHAB SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "ESGUERRA",
        "authorized_official_first_name": "ANNIE MARIE",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "956-227-2110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0093LK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7056829",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161766402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.