Rejuvenate Therapy of Texas, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REJUVENATE THERAPY OF TEXAS, INC

Practice address

2660 Timber Ridge Dr
Frisco, TX 75034-5222

Phone

(847) 423-2625

Fax

(847) 787-1663

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Alan Weissman

Title

President

Phone

(773) 387-3577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1487214623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2625",
            "fax_number": "847-787-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TIMBER RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345222",
            "telephone_number": "847-423-2625",
            "fax_number": "847-787-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE THERAPY OF TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-387-3577"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.