Organization Active NPI

High Five Rehab LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1295408292
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIGH FIVE REHAB LLC
Doing business as
High Five Kids Therapy
Practice address
102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773
Phone
(210) 922-1785
Fax
(210) 922-1782
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Juan E. PerezNPI 1104092121
Title
Owner
Phone
(210) 922-1785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773

Mailing address

102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773
Phone (210) 922-1785

Other identifiers 1

IdentifierTypeStateIssuer
430962701MedicaidTX

Other names 1

  • High Five Kids Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
High Five Kids Therapy2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1295408292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113773",
            "telephone_number": "210-922-1785",
            "fax_number": "210-922-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113773",
            "telephone_number": "210-922-1785",
            "fax_number": "210-922-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH FIVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-922-1785"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430962701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Five Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Five Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.