Organization Active NPI

All Valley Rehabilitation, Spine & Pain Institute, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Edinburg, TX
National Provider Identifier
1386073104
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L8122 Issued in TX
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
331231601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122000497 TX Part B Supplier - Clinic/Group Practice 8729216635 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2076241All Valley Rehabilitation Spine and Pain Institute2123 Cornerstone Blvd, Edinburg, TX 78539Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.