Team Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TEAM REHAB

Practice address

300 N Virginia St
Port Lavaca, TX 77979-3433

Phone

(361) 552-5400

Fax

(361) 552-5406

NPI assigned

Jan 9, 2015

Last updated

Jan 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priscella Stephens

Title

Owner

Phone

(361) 552-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1386033660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793433",
            "telephone_number": "361-552-5400",
            "fax_number": "361-552-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793433",
            "telephone_number": "361-552-5400",
            "fax_number": "361-552-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "PRISCELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-552-5400"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY REGISTRATION",
            "identifier": "676250000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Anne Smith, FNP
• Bethany Danielle Spraggins, PTA
• Richard Steinberg, DPM
• Steven a. Branch
• Eddie Teague, P.T.
• Richard Matthew Terasaki, D.D.S.
• Kidu G Tesfamichael
• Tiffany Nicole Thompson, FNP
• Courtne L Thurlkill, FNP
• TRM Medical,P.a.

• Physical Therapy Clinic/Center in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.