Organization Active NPI

Southwest Abilene Rehab, PA

  • Rehabilitation Chiropractor
  • Eagle Pass, TX
National Provider Identifier
1285956771
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5128 Issued in TX
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 REHABAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
217704001MedicaidTX

Other names 1

  • South Texas Spine and Rehab Doing business as

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.

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

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.

Verify at the official NPI Registry.