Enterprise Corf of Abilene, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ENTERPRISE CORF OF ABILENE, LLC

Doing business as

Steps 2 Strides of Abilene

Practice address

1710 S Clack St
Abilene, TX 79605-4611

Phone

(325) 691-0923

Fax

(325) 691-0062

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Dale Phillips Jr., PT

Title

Manager

Phone

(325) 691-0923

Specialties & licenses 1

Addresses

Other names 1

• Steps 2 Strides of Abilene Doing business as

Locations

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1326376252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054611",
            "telephone_number": "325-691-0923",
            "fax_number": "325-691-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054611",
            "telephone_number": "325-691-0923",
            "fax_number": "325-691-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE CORF OF ABILENE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "325-691-0923",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steps 2 Strides of Abilene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Abilene, TX
• Providers in Abilene, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.