Organization Active NPI

Complete Rehab Services, PLLC

  • Physical Therapy Clinic/Center
  • Brownsville, TX
National Provider Identifier
1528325073
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
L9857 Issued in TX
Legal business name
COMPLETE REHAB SERVICES, PLLC
Practice address
315 Jose Marti Blvd
Brownsville, TX 78526-2868
Phone
(956) 546-7530
Fax
(956) 546-7531
NPI assigned
Apr 20, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Surya P Raguthu, M.D.NPI 1720125412
Title
Medical Doctor
Phone
(956) 546-7530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X L9857 TX Primary

Addresses

Primary practice location

315 Jose Marti Blvd
Brownsville, TX 78526-2868

Mailing address

315 Jose Marti Blvd
Brownsville, TX 78526-2868
Phone (956) 546-7530

Other identifiers 1

IdentifierTypeStateIssuer
0288640MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1528325073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262868",
            "telephone_number": "956-546-7530",
            "fax_number": "956-546-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262868",
            "telephone_number": "956-546-7530",
            "fax_number": "956-546-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE REHAB SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "RAGUTHU",
        "authorized_official_first_name": "SURYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "956-546-7530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "L9857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.