The West Texas Rehabilitation Center
Organization Active NPI Durable Medical Equipment & Medical Supplies · San Angelo, TX
NPI 1487783312 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1487783312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- THE WEST TEXAS REHABILITATION CENTER
- Practice address
- 1724 Sunset Dr
San Angelo, TX 76904-7104 - Phone
- (325) 223-6400
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Tim Childs
- Title
- VP of Finance
- Phone
- (325) 793-3400
Other NPIs on the same Medicare enrollment 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030307000006 | TX | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 2860301215 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ozona, TX; San Angelo, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1724 Sunset Dr
San Angelo, TX 76904-7104
Mailing address
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137920802 | Medicaid | TX | |
| 015668901 | Medicaid | TX |
Other names
- Rehab Home Medical
Other providers in San Angelo, TX
- Texas Root Canal Specialists PLLC
- The Childrens Advocacy Center of Greater West Texas Inc
- The Waterford Wellness Spa
- The West Texas Rehabilitation Center
- The West Texas Rehabilitation Center
- The West Texas Rehabilitation Center
- The West Texas Rehabilitation Center
- Lynn Marie Thebo
- Andrew Thomas
- Angela Christine Thomas
All providers in San Angelo, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.