Active NPI
Southwest Abilene Rehab, PA
- Rehabilitation Chiropractor
- Eagle Pass, TX
National Provider Identifier
1285956771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5128
- Legal business name
- SOUTHWEST ABILENE REHAB, PA
- Practice address
- 2435 N Veterans Blvd Ste a
Eagle Pass, TX 78852-6483 - Phone
- (830) 776-5996
- Fax
- (830) 776-5992
- NPI assigned
- Feb 24, 2010
- Organization subpart
- Yes
- Parent organization
- SOUTHWEST ABILENE REHAB
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nakia Shawnee Long
- Title
- Practice Manager
- Phone
- (830) 313-2514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 5128 | TX | Primary |
Addresses
Primary practice location
2435 N Veterans Blvd Ste a
Eagle Pass, TX 78852-6483
Mailing address
342 Cedar St
Abilene, TX 79601
Phone (830) 776-5996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217704001 | Medicaid | TX |
Other names 1
- South Texas Spine and Rehab
National Provider Directory
National Provider Directory- Part of
- Southwest Abilene Rehab PA
Locations
2435 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 776-5993
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Dallas, TX
- NPI 1588775225
-
- Chiropractor
- Abilene, TX
- NPI 1386653087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1285956771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 CEDAR ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "79601",
"telephone_number": "830-776-5996",
"fax_number": "830-776-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 N VETERANS BLVD STE A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788526483",
"telephone_number": "830-776-5996",
"fax_number": "830-776-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST ABILENE REHAB, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHWEST ABILENE REHAB",
"enumeration_date": "2010-02-24",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "NAKIA",
"authorized_official_middle_name": "SHAWNEE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "830-313-2514",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "5128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217704001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Texas Spine and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle Pass, TX
- Sotx Hospitalist Associates, PLLC
- South Texas Provider Agency LLC
- South Texas Regional Laboratories Inc
- South Texas Rural Health Services
- South Texas Sleep Services, L.L.C.
- Southwest Texas Optical
- St. Isabel Home Health Incorporation
- Superior Home Health of Eagle Pass, LLC
- Superior Plus Ambulance LLC
- Sylvia Juniette Salazar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.