Rehab Center, LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

5539 Issued in TX

Legal business name

REHAB CENTER, LLC

Practice address

5519 Arapaho Road
Suite 108
Dallas, TX 75248

Phone

(469) 212-3261

Fax

(214) 484-5990

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Randal Floyd, OTAIDE

Title

LC Manager

Phone

(469) 212-3261

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Wellness Group Other name

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1245456540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 PRESTON RD",
            "address_2": "SUITE D9320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526007",
            "telephone_number": "469-212-3261",
            "fax_number": "214-484-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 ARAPAHO ROAD",
            "address_2": "SUITE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "469-212-3261",
            "fax_number": "214-484-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "LC MANAGER",
        "authorized_official_telephone_number": "469-212-3261",
        "authorized_official_credential": "OTAIDE"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25360",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "5539",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020JN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bina Regi, AGACNP
• Regina a. Johnson
• Martha Grace Register, M.S., CCC-SLP
• Reguim Opus LLC
• Rehab 2112, LLC
• Rehab Experts Inc.
• Rehab Masters, Inc.
• Rehab Medical LLC
• Rehab Now Inc.
• Rehab Physician'S Network

• Neurology Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.