NPIMap

Organization Active NPI

Brain Based Rehab, PLLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1558988428
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BRAIN BASED REHAB, PLLC
Practice address
23165 Bat Cave Rd
San Antonio, TX 78266-2686
Phone
(210) 268-4558
NPI assigned
Jun 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Karen M Fergason, PTNPI 1912566613
Title
Owner
Phone
(210) 268-4558

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

23165 Bat Cave Rd
San Antonio, TX 78266-2686

Mailing address

23165 Bat Cave Rd
San Antonio, TX 78266-2686
Phone (210) 268-4558

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://brainbasedrehab.clientsecure.me Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1558988428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23165 BAT CAVE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662686",
            "telephone_number": "210-268-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23165 BAT CAVE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662686",
            "telephone_number": "210-268-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BASED REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "FERGASON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-268-4558",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://brainbasedrehab.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "23165 Bat Cave Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782662686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.