Organization Active NPI

Rockwall Cardio Pulmonary Clinic LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rockwall, TX
National Provider Identifier
1265582910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ROCKWALL CARDIO PULMONARY CLINIC LLC
Practice address
2504 Ridge Rd
Suite 205
Rockwall, TX 75087-2569
Phone
(972) 768-9230
Fax
(972) 722-4087
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lori Suzzette Aaron, R.T.
Title
Owner
Phone
(903) 227-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary

Addresses

Primary practice location

2504 Ridge Rd
Suite 205
Rockwall, TX 75087-2569

Mailing address

2504 Ridge Rd
Suite 205
Rockwall, TX 75087-2569
Phone (972) 768-9230

Other names 1

  • Rockwall Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockwall Cardio Pulmonary Clinic LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265582910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-768-9230",
            "fax_number": "972-722-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-768-9230",
            "fax_number": "972-722-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL CARDIO PULMONARY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SUZZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-227-1088",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.