Organization Active NPI

Rehab Centers of South Texas LLC

Doing business as Dynamic Children Therapy

  • Rehabilitation Clinic/Center
  • McAllen, TX
National Provider Identifier
1194165597
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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)CodeLicenseStatePrimary
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 Doing business as

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.

  • CCN 676596 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

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 Directory

NPI 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

Verify at the official NPI Registry.