Smile N Grow Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SMILE N GROW REHAB LLC

Practice address

605 N Main St
Suite D
Donna, TX 78537-2725

Phone

(956) 461-3411

Fax

(956) 461-3416

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Audrey Alvizo

Title

Administrator

Phone

(956) 461-3411

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1275899759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "address_2": "SUITE D",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372725",
            "telephone_number": "956-461-3411",
            "fax_number": "956-461-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "address_2": "SUITE D",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372725",
            "telephone_number": "956-461-3411",
            "fax_number": "956-461-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE N GROW REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "ALVIZO",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-461-3411"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195485106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207596202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Donna, TX
• Providers in Donna, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.