West Park Rehab & Aquatic Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WEST PARK REHAB & AQUATIC CENTER

Practice address

210 W Park
Suite 101
Livingston, TX 77351-8336

Phone

(936) 327-8080

Fax

(936) 327-8086

NPI assigned

Apr 13, 2012

Last updated

Jul 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy S Shaw, M.D., P.A.NPI 1316930183

Title

General Partner

Phone

(936) 328-8080

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Timothy Shane Shaw, M.D., P.A.

  • Specialist
  • Livingston, TX
  • NPI 1316930183
  NPD Authorized official
• Matthew Zane Owens, DPT

  • Physical Therapist
  • Livingston, TX
  • NPI 1225860018
  NPD
• Madelaine Kate Read, OTR

  • Occupational Therapist
  • Woodville, TX
  • NPI 1639032139
  NPD

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1407113525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W PARK",
            "address_2": "SUITE 101",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518336",
            "telephone_number": "936-327-8080",
            "fax_number": "936-327-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W PARK",
            "address_2": "SUITE 101",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518336",
            "telephone_number": "936-327-8080",
            "fax_number": "936-327-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK REHAB & AQUATIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "936-328-8080",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walson, Inc,
• Beth-Michele Wargo, RN., CNM
• William E. Watson, O.D.
• Kumari K. Weeratunge, M.D.
• West Mill Pharmacy LLC (West Mill Pharmacy)
• Faith Whatley-Torres, BCBA
• Faye L Whitaker
• Katherine D White, LPC
• William E Watson OD PC
• Clayton Lamar Williamson, MA, LPC

• Physical Therapy Clinic/Center in Livingston, TX
• Providers in Livingston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.