Los Fresnos Physical Therapy and Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LOS FRESNOS PHYSICAL THERAPY AND REHAB

Practice address

910 S Arroyo Blvd
Los Fresnos, TX 78566-3831

Phone

(860) 912-6118

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By 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. Douglas A Warner

Title

Manager

Phone

(860) 912-6118

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1164989901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S ARROYO BLVD STE A3",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663832",
            "telephone_number": "860-912-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S ARROYO BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663831",
            "telephone_number": "860-912-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FRESNOS PHYSICAL THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-912-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730397928",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942731625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Los Fresnos Ambulance Service, Inc
• Los Fresnos Cisd
• Los Fresnos Eye Clinic & Optical Inc.
• Los Fresnos Family Dentistry
• Los Fresnos Image Center LLC
• Lovely Angels Home Health Care, LLC
• Peter Emilio Maldonado, PA-C
• Gabriela Xareni Mariscal
• Graciela I Martinez
• Maribel Martinez

• Physical Therapy Clinic/Center in Los Fresnos, TX
• Providers in Los Fresnos, 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 Feb 28, 2019; 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.