NPIMap

Organization Active NPI

Thera-Care Rehab Services, PLLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mission, TX
National Provider Identifier
1548288202
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
THERA-CARE REHAB SERVICES, PLLC
Practice address
2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone
(956) 519-2700
Fax
(956) 519-2704
NPI assigned
Jul 18, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mrs. Annie Marie Castillo Esguerra, PT, DPTNPI 1588722359
Title
Cfo
Phone
(956) 227-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

2504 E Griffin Pkwy
Mission, TX 78572-3348

Mailing address

2504 E Griffin Pkwy
Mission, TX 78572-3348
Phone (956) 519-2700

Other identifiers 3

IdentifierTypeStateIssuer
172095501MedicaidTX
7056829OtherTXAETNA
0093LKOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000088 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9436060522 Practice locations: Mission, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548288202. Details of each certification follow.

  • CCN 676591 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676591

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
THERA-CARE REHAB SERVICES, P L L C
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 11, 2005
Last certification
Jan 9, 2018
Ownership / control type
Proprietary
Facility address
2504 East Griffin Parkway
Mission, TX 78572

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Thera Care Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2504 E Griffin Pkwy
Mission, TX 78572
Phone (956) 519-2700

306 S Bryan Rd
Mission, TX 78572
Phone (956) 519-2700

7600 W Expressway 83
Mission, TX 78572
Phone (956) 581-7171

7600 W Expressway 83
Ste 45
Mission, TX 78572
Phone (956) 581-7171

1337 E Palma Vista Dr
Ste C
Palmview, TX 78572
Phone (956) 519-9442

1904 Tesoro St
Pharr, TX 78577
Phone (956) 283-1400

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1548288202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-519-2700",
            "fax_number": "956-519-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723348",
            "telephone_number": "956-519-2700",
            "fax_number": "956-519-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-CARE REHAB SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "ESGUERRA",
        "authorized_official_first_name": "ANNIE MARIE",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "956-227-2110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172095501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7056829",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0093LK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.