Kids Playhouse Rehab LP

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

KIDS PLAYHOUSE REHAB LP

Doing business as

Kids Playhouse Rehab

Practice address

3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447

Phone

(956) 631-6200

Fax

(956) 631-6433

NPI assigned

Jul 10, 2006

Last updated

Oct 6, 2011By 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

Dr. Carlos Mego, M.D.NPI 1306869888

Title

President

Phone

(956) 631-6200

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• KIDS PLAYHOUSE REHAB Doing business as

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 1235162264. Details of each certification follow.

• CCN 454875 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 454875

Legal name

KIDS PLAYHOUSE REHAB

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jun 20, 2006

Last certification

Mar 24, 2015

Ownership / control type

Proprietary

Facility address

3601 Buddy Owens Suite 100
McAllen, TX 78504

Locations

Practitioners 4

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.

• Carlos David Mego, MD

  • Cardiovascular Disease Physician
  • McAllen, TX
  • NPI 1306869888
  NPD (past) Authorized official
• Sarah Elizabeth Avila

  • Occupational Therapist
  • Cuero, TX
  • NPI 1407154776
  NPD (past)
• Sandra Guajardo, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Harlingen, TX
  • NPI 1811195910
  NPD (past)
• Romisa Elizabeth Rangel

  • Speech-Language Pathologist
  • Harlingen, TX
  • NPI 1417265042
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1235162264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046447",
            "telephone_number": "956-631-6200",
            "fax_number": "956-631-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046447",
            "telephone_number": "956-631-6200",
            "fax_number": "956-631-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLAYHOUSE REHAB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MEGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-631-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT06921",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180599601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITION",
            "identifier": "153143604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITION",
            "identifier": "163485902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "180599602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS PLAYHOUSE REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett N Kidd
• Kidding Around Therapy, Inc. (Kid'n Around Therapy)
• Kidiatric Therapy Services
• Kids Dentaland
• Kids Playhouse Rehab
• Kidz at Play Rehabilitation Services LLC
• John Kiker, PA
• Ali Kilic
• Kim Villabona, Psy.D
• Dongwon Kim, DPT

• Comprehensive Outpatient Rehabilitation Facility (CORF) in McAllen, TX
• Providers in McAllen, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.

Verify at the official NPI Registry.