Organization Active NPI

Manuel Griego, Jr. D.O., P.a.

Doing business as Metroplex Rehabilitation Centre

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1396921474
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
F1604 Issued in TX
Legal business name
MANUEL GRIEGO, JR. D.O., P.A.
Doing business as
Metroplex Rehabilitation Centre
Practice address
1412 Main St
Suite 905
Dallas, TX 75202-4014
Phone
(214) 580-7277
Fax
(214) 580-7283
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Manuel Griego Jr., D.O.NPI 1528170206
Title
Ceo/President
Phone
(214) 580-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X F1604 TX Primary

Addresses

Primary practice location

1412 Main St
Suite 905
Dallas, TX 75202-4014

Mailing address

2701 S Hampton Rd Ste 104
Dallas, TX 75224-2363
Phone (214) 330-9221

Other identifiers 2

IdentifierTypeStateIssuer
F1604OtherTXTX MEDICAL LICENSE
80266201MedicaidTX

Other names 1

  • Metroplex Rehabilitation Centre Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1396921474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "214-330-9221",
            "fax_number": "214-231-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST",
            "address_2": "SUITE 905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024014",
            "telephone_number": "214-580-7277",
            "fax_number": "214-580-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL GRIEGO, JR. D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIEGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "214-580-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "F1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "F1604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80266201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metroplex Rehabilitation Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.