NPIMap

Organization Active NPI

A Plus Pediatric Rehab, Inc.

Doing business as A Plus Pediatrics Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1497997019
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
A PLUS PEDIATRIC REHAB, INC.
Doing business as
A Plus Pediatrics Rehab
Practice address
9514 Console Drive
Suite 102
San Antonio, TX 78229-2042
Phone
(210) 448-9111
Fax
(210) 308-9595
NPI assigned
Mar 27, 2009
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mr. Mohamed Ghannam
Title
Ceo
Phone
(210) 448-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 663890000 TX

Addresses

Primary practice location

9514 Console Drive
Suite 102
San Antonio, TX 78229-2042

Mailing address

9514 Console Drive
Suite 102
San Antonio, TX 78229-2042
Phone (210) 448-9111

Other practice location 1

1211 Arcadia Path
San Antonio, TX 78247
Phone (210) 448-9111

Other identifiers 1

IdentifierTypeStateIssuer
3132839-01MedicaidTX

Other names 1

  • A Plus Pediatrics Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110819000511 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8123164928 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497997019. Details of each certification follow.

  • CCN 676690 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676690

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
A PLUS PEDIATRIC REHAB
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 29, 2012
Last certification
Mar 3, 2023
Ownership / control type
Proprietary
Facility address
9514 Console Drive, Suite 102
San Antonio, TX 78229

National Provider Directory

National Provider Directory

Locations

9514 Console Dr
Ste 102
San Antonio, TX 78229
Phone (210) 448-9111

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1497997019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DRIVE",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292042",
            "telephone_number": "210-448-9111",
            "fax_number": "210-308-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DRIVE",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292042",
            "telephone_number": "210-448-9111",
            "fax_number": "210-308-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Arcadia Path",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78247",
            "country_code": "US",
            "telephone_number": "210-448-9111",
            "fax_number": "210-308-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A PLUS PEDIATRIC REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "GHANNAM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-448-9111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "663890000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132839-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Pediatrics Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Plus Pediatrics Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.