NPIMap

Organization Active NPI

Renaissance Outpatient Rehabilitation Center, LLC

  • Rehabilitation Clinic/Center
  • McAllen, TX
National Provider Identifier
1508330713
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
RENAISSANCE OUTPATIENT REHABILITATION CENTER, LLC
Practice address
1400 E Ridge Rd Ste 1
McAllen, TX 78503-1536
Phone
(956) 686-2150
Fax
(956) 630-3993
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Travis French
Title
Administrator
Phone
(956) 686-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1400 E Ridge Rd Ste 1
McAllen, TX 78503-1536

Mailing address

1400 E Ridge Rd Ste 1
McAllen, TX 78503-1536
Phone (956) 686-2150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190307002675 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6406832476 Practice locations: McAllen, TX

Outpatient physical therapy / speech pathology certification: CCN 676636

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
RENAISSANCE OUTPATIENT REHABILITATION CENTER, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 26, 2006
Last certification
Nov 7, 2019
Ownership / control type
Proprietary
Most recent change of ownership
Dec 1, 2020
Facility address
1400 E Ridge Rd, Suite 1
McAllen, TX 78503

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3675 Boca Chica Blvd
Brownsville, TX 78521
Phone (956) 546-7802

3355 Boca Chica Blvd
Ste 8
Brownsville, TX 78521
Phone (956) 447-3565

100 N Texas Ave
Ste C
Mercedes, TX 78570
Phone (956) 514-9990

415 W Main Ave
Ste B
Mission, TX 78573
Phone (956) 424-0077

810 E Veterans Blvd
Palmview, TX 78572
Phone (956) 580-4300

1002 W Sam Houston Blvd
Ste 10
Pharr, TX 78577
Phone (956) 702-9882

926 W Sam Houston Blvd
Ste 1
Pharr, TX 78577
Phone (956) 447-3565

910 E 8th St
Ste 7
Weslaco, TX 78596
Phone (956) 447-3565

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1508330713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-686-2150",
            "fax_number": "956-630-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-686-2150",
            "fax_number": "956-630-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE OUTPATIENT REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-686-2150"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.