Fun House Rehab, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FUN HOUSE REHAB, LLC

Practice address

11837 Acosta Cir W
Mission, TX 78573-7995

Phone

(956) 638-0761

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Noe Bazan, OTR

Title

Owner

Phone

(956) 638-0761

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Bazan

  • Occupational Therapist
  • Edinburg, TX
  • NPI 1720658867
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1447711528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 STATE HIGHWAY 107",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785738495",
            "telephone_number": "956-638-0761",
            "fax_number": "956-329-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 ACOSTA CIR W",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785737995",
            "telephone_number": "956-638-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN HOUSE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "BAZAN",
        "authorized_official_first_name": "NOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-638-0761",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco J. Zarzar Mdpa
• Freedom Living Construction LLC
• Freedom Medical Investments LLC
• Deemar Jas Fuentes, CPT
• Maria E Fuentes, M.A., CCC/SLP
• Fun Therapy, LLC
• G Athanasi Orfanos DDS PLLC
• Felicitas Galindo, B.A., COTA
• Priscilla Gallardo, SLP
• Jose Manuel Gallegos, PHARM.D.

• Occupational Therapist in Mission, TX
• Providers in Mission, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.