North Texas Electrodiagnostics and Rehabilitation PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J4489 Issued in TX

Legal business name

NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA

Doing business as

Definitive Rehab and Pain Management

Practice address

307 E Ovilla Rd Ste 600
Red Oak, TX 75154-3896

Phone

(972) 576-2920

Fax

(972) 617-3930

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Louraine Stevens

Title

Business Manager

Phone

(972) 576-2920

Specialties & licenses 1

Addresses

Other names 1

• Definitive Rehab and Pain Management Doing business as

Locations

Practitioners 3

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

• Marcy Maines, P.T

  • Physical Therapist
  • Red Oak, TX
  • NPI 1770633984
  NPD (past)
• Melinda Nelson, ATC, LAT

  • Athletic Trainer
  • Red Oak, TX
  • NPI 1558766618
  NPD (past)
• Lorraine Rudder, MD

  • Physical Medicine & Rehabilitation Physician
  • Red Oak, TX
  • NPI 1639229545
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1508916891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 600",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543898",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD STE 600",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543896",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LOURAINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-576-2920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Definitive Rehab and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myc Urgent Care LLC (MYC Urgent Care)
• National Athletic Trainers Association
• Melinda Nelson, ATC, LAT
• Brian Hieu Nguyen, MD
• Vu Uy Nguyen, PHARMD
• North Texas Electrodiagnostics and Rehabilitation PA (Definitive Rehabilitation and Pain Management)
• Osinachi Nwachukwu Obasi
• Oaks Specialty Pharmacy, Inc
• Oasis Eye Care, PLLC
• Martha Oglesby, APRN-CNP

• Physical Medicine & Rehabilitation Physician in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.