Active NPI
Ebel Aquino Medina, DC
- Rehabilitation Chiropractor
- Conroe, TX
National Provider Identifier
1447975016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 15247
- Practice address
- 2236 N Loop 336 W
Conroe, TX 77304-3519 - Phone
- (800) 404-6050
- Fax
- (866) 313-3397
- NPI assigned
- Oct 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 15247 | TX | Primary |
Addresses
Primary practice location
2236 N Loop 336 W
Conroe, TX 77304-3519
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (800) 404-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15247 | Other | TX | CHIROPRACTIC LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@airrosti-rehab-ctrs.direct.kno2fy.com | Airrosti Rehab Centers, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Airrosti Rehab Centers | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- San Antonio, TX
- NPI 1831632629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1447975016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 N LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043519",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO MEDINA",
"first_name": "EBEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-06",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "15247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "15247",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "Airrosti Rehab Centers, LLC",
"address_1": "111 Tower Dr Bldg 1",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782323625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.