Active NPI
Rehab Centers of South Texas LLC
Doing business as Dynamic Children Therapy
- Rehabilitation Clinic/Center
- McAllen, TX
National Provider Identifier
1194165597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- REHAB CENTERS OF SOUTH TEXAS LLC
- Doing business as
- Dynamic Children Therapy
- Practice address
- 300 S 2ND St
Ste B
McAllen, TX 78501-2702 - Phone
- (956) 627-5564
- Fax
- (956) 682-7771
- NPI assigned
- Jun 28, 2013
- Last updated
- Aug 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paola Tamez
- Title
- Ceo
- Phone
- (956) 683-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
300 S 2ND St
Ste B
McAllen, TX 78501-2702
Mailing address
300 S 2ND St
Ste B
McAllen, TX 78501-2702
Phone (956) 627-5564
Other names 1
- DYNAMIC CHILDREN THERAPY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194165597. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 676596
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- DYNAMIC CHILDREN THERAPY
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- May 24, 2005
- Last certification
- May 29, 2012
- Ownership / control type
- Proprietary
- Facility address
- 300 S 2ND Street, Ste B
McAllen, TX 78501
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375920000000",
"number": "1194165597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 2ND ST",
"address_2": "STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012702",
"telephone_number": "956-627-5564",
"fax_number": "956-682-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 2ND ST",
"address_2": "STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012702",
"telephone_number": "956-627-5564",
"fax_number": "956-682-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB CENTERS OF SOUTH TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-28",
"last_updated": "2013-08-08",
"status": "A",
"authorized_official_last_name": "TAMEZ",
"authorized_official_first_name": "PAOLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-683-7770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DYNAMIC CHILDREN THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.