NPIMap

Organization Active NPI

Reeves Rehab

  • Speech-Language Pathologist
  • San Angelo, TX
National Provider Identifier
1396297776
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
C-6121 Issued in NM
Legal business name
REEVES REHAB
Practice address
105 Westland St
San Angelo, TX 76901-3051
Phone
(325) 340-4020
NPI assigned
Nov 1, 2016
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Mrs. Susan Reeves, MS, SLP-CCC
Title
Owner
Phone
(325) 340-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X C-6121 NM Primary

Addresses

Primary practice location

105 Westland St
San Angelo, TX 76901-3051

Mailing address

18 W College Ave
San Angelo, TX 76903-5814
Phone (325) 340-4020

Other identifiers 1

IdentifierTypeStateIssuer
004958702MedicaidTX

National Provider Directory

National Provider Directory

Locations

105 Westland St
San Angelo, TX 76901
Phone (325) 340-4020

Practitioners & affiliated clinicians

Practitioners 12

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": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1396297776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W COLLEGE AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035814",
            "telephone_number": "325-340-4020",
            "fax_number": "325-617-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTLAND ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013051",
            "telephone_number": "325-340-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-340-4020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-6121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004958702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.