Organization Active NPI

Custom Rehab of North Texas, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1285703397
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0085543 Issued in TX
Legal business name
CUSTOM REHAB OF NORTH TEXAS, INC.
Practice address
810 S Saint Paul St
Dallas, TX 75201-6216
Phone
(214) 744-3606
Fax
(214) 744-3609
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Sandra Shields, CRTS
Title
Ceo
Phone
(214) 744-3606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0085543 TX Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

810 S Saint Paul St
Dallas, TX 75201-6216

Mailing address

810 S Saint Paul St
Dallas, TX 75201-6216
Phone (214) 744-3606

Other identifiers 1

IdentifierTypeStateIssuer
515568OtherTXBLUE CROSS

National Provider Directory

National Provider Directory

Locations

810 S Saint Paul St
Dallas, TX 75201
Phone (214) 744-3606

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285703397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S SAINT PAUL ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016216",
            "telephone_number": "214-744-3606",
            "fax_number": "214-744-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S SAINT PAUL ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016216",
            "telephone_number": "214-744-3606",
            "fax_number": "214-744-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM REHAB OF NORTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-744-3606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRTS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0085543",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.