Rehab-Back Care Institute of West Texas

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

DC5710 Issued in TX

Legal business name

REHAB-BACK CARE INSTITUTE OF WEST TEXAS

Practice address

1030 N Grandview Ave
Odessa, TX 79761-3149

Phone

(432) 332-3388

Fax

(432) 332-3390

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Mehaffey, DC

Title

Owner

Phone

(432) 332-3388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1235463639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613149",
            "telephone_number": "432-332-3388",
            "fax_number": "432-332-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613149",
            "telephone_number": "432-332-3388",
            "fax_number": "432-332-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB-BACK CARE INSTITUTE OF WEST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MEHAFFEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-332-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "DC5710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajani Reddy, M.D
• Stacey Diane Redfern, LMT
• Robbi Reeves, CFSA
• Regency Hospital of Odessa LLLP
• Juliana Marie Reguero, MS.CCC/SLP
• William G. Reilly, M.D.
• Renal Center of Midland-Odessa, LP, LLLP
• Krysten Renteria
• Maria Teresa Renteria, MA; LPC-ASSOCIATE
• Sean M Revell, PHARMD

• Physical Therapy Clinic/Center in Odessa, TX
• Providers in Odessa, 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 Oct 1, 2009; 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.