NPIMap

Organization Active NPI

Pro Rehab Associates PA

Doing business as Mansfield Physical Medicine and Rehabilitation Center

  • Chiropractor
  • Mansfield, TX
National Provider Identifier
1215187356
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10852 Issued in TX
Legal business name
PRO REHAB ASSOCIATES PA
Doing business as
Mansfield Physical Medicine and Rehabilitation Center
Practice address
221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379
Phone
(817) 453-0430
Fax
(817) 453-0400
NPI assigned
Sep 25, 2008
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Dr. Prakash Bharat Bhakta, D.C.NPI 1659542355
Title
Coo
Phone
(817) 453-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10852 TX Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 1600 TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1167330 TX

Addresses

Primary practice location

221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379

Mailing address

221 Regency Pkwy
Suite 101
Mansfield, TX 76063-5379
Phone (817) 453-0430

Other names 1

  • Mansfield Physical Medicine and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1215187356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635379",
            "telephone_number": "817-453-0430",
            "fax_number": "817-453-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 REGENCY PKWY",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635379",
            "telephone_number": "817-453-0430",
            "fax_number": "817-453-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO REHAB ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "BHARAT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-453-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10852",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Physical Medicine and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.