NPIMap

Individual provider Active NPI

Sabrina Lizette Rebollar

  • Speech-Language Pathologist
  • Pharr, TX
National Provider Identifier
1396199170
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1003045741 Issued in TX
Practice address
1209 E Jackson Ave
Pharr, TX 78577-6163
Phone
(956) 784-2504
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1003045741 TX Primary

Addresses

Primary practice location

1209 E Jackson Ave
Pharr, TX 78577-6163

Mailing address

1209 E Jackson Ave
Pharr, TX 78577-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1003045741TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Paloma Therapeutics PLLC Speech-Language Pathologist CurrentSince Mar 19, 2023 Accepting new patients
Easter Seals Rio Grande Valley Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1396199170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E JACKSON AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E JACKSON AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776163",
            "telephone_number": "956-784-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLAR",
        "first_name": "SABRINA",
        "middle_name": "LIZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "1003045741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.