Active NPI
All Valley Rehabilitation, Spine & Pain Institute, P.a.
- Physical Medicine & Rehabilitation Physician
- Edinburg, TX
National Provider Identifier
1386073104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- L8122
- Legal business name
- ALL VALLEY REHABILITATION, SPINE & PAIN INSTITUTE, P.A.
- Practice address
- 2123 Cornerstone Blvd
Edinburg, TX 78539-8301 - Phone
- (956) 627-3151
- Fax
- (956) 627-3145
- NPI assigned
- Nov 2, 2013
- Last updated
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Felipa Canchola
- Title
- General Manager
- Phone
- (956) 627-3151
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | L8122 | TX | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Pain Medicine Physician | 208VP0000X | L8122 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | L8122 | TX |
Addresses
Primary practice location
2123 Cornerstone Blvd
Edinburg, TX 78539-8301
Mailing address
PO Box 3569
McAllen, TX 78502-3569
Phone (956) 627-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331231601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2076241 | All Valley Rehabilitation Spine and Pain Institute | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
2123 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 627-3151
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Edinburg, TX
- NPI 1164442778
Multi-Specialty
-
- Urology Physician
- Edinburg, TX
- NPI 1023000452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1386073104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3569",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785023569",
"telephone_number": "956-627-3151",
"fax_number": "956-627-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398301",
"telephone_number": "956-627-3151",
"fax_number": "956-627-3145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL VALLEY REHABILITATION, SPINE & PAIN INSTITUTE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "CANCHOLA",
"authorized_official_first_name": "FELIPA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "956-627-3151"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "L8122",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "L8122",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "L8122",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331231601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.