Organization Active NPI

East Texas Neuro Rehab

  • Physical Therapist
  • Lufkin, TX
National Provider Identifier
1295762565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EAST TEXAS NEURO REHAB
Practice address
609 Ellis Ave
Lufkin, TX 75904-3820
Phone
(936) 634-4282
Fax
(936) 634-4285
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Majal Buenaflor Minguez, PTNPI 1861428187
Title
Owner/Director
Phone
(936) 634-4282

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

609 Ellis Ave
Lufkin, TX 75904-3820

Mailing address

609 Ellis Ave
Lufkin, TX 75904-3820
Phone (936) 634-4282

National Provider Directory

National Provider Directory

Locations

609 Ellis Ave
Lufkin, TX 75904
Phone (903) 938-2800

814 Ellis Ave
Lufkin, TX 75904
Phone (936) 634-4282

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295762565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043820",
            "telephone_number": "936-634-4282",
            "fax_number": "936-634-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043820",
            "telephone_number": "936-634-4282",
            "fax_number": "936-634-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS NEURO REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINGUEZ",
        "authorized_official_first_name": "MAJAL",
        "authorized_official_middle_name": "BUENAFLOR",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "936-634-4282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.