Organization Active NPI

RGV Nueces Rehabilitation Inc.

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1477628170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1162377 Issued in TX
Legal business name
RGV NUECES REHABILITATION INC.
Practice address
4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166
Phone
(361) 986-0708
Fax
(361) 986-0751
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christina Ener
Title
Administrator
Phone
(361) 986-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1162377 TX Primary

Addresses

Primary practice location

4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166

Mailing address

4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166
Phone (361) 986-0708

Other identifiers 1

IdentifierTypeStateIssuer
1162377OtherTXTEXAS STATE LICENES

Other names 1

  • INNOVATIVE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477628170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115166",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115166",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV NUECES REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-986-0708",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1162377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENES",
            "identifier": "1162377",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.