NPIMap

Organization Active NPI

Elite Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1346537990
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ELITE REHAB SERVICES, LLC
Doing business as
Elite Rehab
Practice address
2115 Pleasanton Rd
Suite 203
San Antonio, TX 78221-1300
Phone
(956) 380-6100
NPI assigned
Jul 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. Timoteo C Betancourt
Title
Chief Operating Officer/Owner
Phone
(956) 380-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2115 Pleasanton Rd
Suite 203
San Antonio, TX 78221-1300

Mailing address

2115 Pleasanton Rd
Suite 203
San Antonio, TX 78221-1300
Phone (956) 380-6100

Other names 1

  • Elite Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

3127 S Sugar Rd
Ste B
Edinburg, TX 78539
Phone (956) 380-6100

Practitioners & affiliated clinicians

Practitioners 8

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": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1346537990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "956-380-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "956-380-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "TIMOTEO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/OWNER",
        "authorized_official_telephone_number": "956-380-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Rehab",
            "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 4, 2012; 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.