NPIMap

Organization Active NPI

Ir Rehab PC

Doing business as Integrity Rehab

  • Rehabilitation Clinic/Center
  • Killeen, TX
National Provider Identifier
1245785146
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
IR REHAB PC
Doing business as
Integrity Rehab
Practice address
5302 Janelle Dr
Killeen, TX 76549-5666
Phone
(254) 699-3933
Fax
(254) 526-8604
NPI assigned
Aug 20, 2016
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Jeanice A MitchellNPI 1518941277
Title
Owner
Phone
(254) 699-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5302 Janelle Dr
Killeen, TX 76549-5666

Mailing address

PO Box 10340
Killeen, TX 76547-0340
Phone (254) 699-3933

Other names 1

  • INTEGRITY REHAB Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213002329 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1153453691 3 other NPIs on this enrollment
Practice locations: Temple, TX; Salado, TX; Harker Heights, TX; Leander, TX; Killeen, TX; Copperas Cove, TX; Burleson, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ir Rehab PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

181 W Business 190
Ste 5
Copperas Cove, TX 76522
Phone (254) 284-6023

5302 Janelle Dr
Killeen, TX 76549
Phone (254) 628-7900

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1245785146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10340",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470340",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 JANELLE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495666",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IR REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-699-3933"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRITY REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRITY REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.