Active NPI
Prohealth Rehab & Wellness LLC
- Rehabilitation Chiropractor
- Frisco, TX
National Provider Identifier
1417438458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- PROHEALTH REHAB & WELLNESS LLC
- Practice address
- 4112 Legacy Dr Ste 326
Frisco, TX 75034-0811 - Phone
- (480) 646-6004
- NPI assigned
- Aug 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc A Resasco
- Title
- President
- Phone
- (480) 646-6004
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | TX | Primary | |
| Home Health Agency | 251E00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Addresses
Primary practice location
4112 Legacy Dr Ste 326
Frisco, TX 75034-0811
Mailing address
715FM 1959Rd
1009
Houston, TX 77034
Phone (480) 646-6004
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1417438458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715FM 1959RD",
"address_2": "1009",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77034",
"telephone_number": "480-646-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 LEGACY DR STE 326",
"city": "FRISCO",
"state": "TX",
"postal_code": "750340811",
"telephone_number": "480-646-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH REHAB & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "RESASCO",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-646-6004"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.