NPIMap

Organization Active NPI

Elite Rehab Services, L.L.C.

  • Rehabilitation Clinic/Center
  • Edinburg, TX
National Provider Identifier
1578670535
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ELITE REHAB SERVICES, L.L.C.
Practice address
3127 S Sugar Rd
Edinburg, TX 78539-9627
Phone
(956) 380-6100
Fax
(956) 380-6101
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mrs. Anacelia Betancourt, M.O.T., O.T.R.
Title
Administrator, Member
Phone
(956) 380-6100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 554290000 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3127 S Sugar Rd
Edinburg, TX 78539-9627

Mailing address

PO Box 4255
Edinburg, TX 78540-4255
Phone (956) 380-6100

Other identifiers 1

IdentifierTypeStateIssuer
181788401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060510000189 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4082625736 Practice locations: San Antonio, TX; Edinburg, TX

Outpatient physical therapy / speech pathology certification: CCN 676632

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
ELITE REHAB SERVICES, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 28, 2006
Last certification
Feb 24, 2015
Ownership / control type
Proprietary
Facility address
3127 S Sugar Road
Edinburg, TX 78539

National Provider Directory

National Provider Directory

Locations

3127 S Sugar Rd
Edinburg, TX 78539
Phone (956) 380-6100

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1578670535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4255",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404255",
            "telephone_number": "956-380-6100",
            "fax_number": "956-380-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 S SUGAR RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399627",
            "telephone_number": "956-380-6100",
            "fax_number": "956-380-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE REHAB SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ANACELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR, MEMBER",
        "authorized_official_telephone_number": "956-380-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.O.T., O.T.R."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "554290000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181788401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.