Active NPI
Neurocare Rehab Dallas LLC
- Rehabilitation Clinic/Center
- Richardson, TX
National Provider Identifier
1588023071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- NEUROCARE REHAB DALLAS LLC
- Practice address
- 2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302 - Phone
- (213) 944-4865
- NPI assigned
- Feb 12, 2016
- Last updated
- Feb 12, 2016
- Organization subpart
- Yes
- Parent organization
- NEUROCARE REHAB HOSPITALS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Raab
- Title
- Chief Financial Officer
- Phone
- (213) 944-4865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302
Mailing address
2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302
Other names 1
- NeuroCare Outpatient Rehabilitation
National Provider Directory
National Provider DirectoryLocations
2150 Lakeside Blvd
Ste 150
Richardson, TX 75082
Phone (214) 329-9600
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.
-
- Neurorehabilitation Occupational Therapist
- Richardson, TX
- NPI 1669796850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1588023071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 LAKESIDE BLVD",
"address_2": "SUITE 150",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 LAKESIDE BLVD",
"address_2": "SUITE 150",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824302",
"telephone_number": "213-944-4865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCARE REHAB DALLAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEUROCARE REHAB HOSPITALS LLC",
"enumeration_date": "2016-02-12",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "RAAB",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "213-944-4865",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NeuroCare Outpatient Rehabilitation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richardson, TX
- Nervio Vigilar, LLC
- Network Interventional Pain Center, LLC
- Bethany Neubert, MS, CCC-SLP
- Rachael Marie Neuman, BCBA
- Neuro Resource Group Inc
- Neurodiverse Relationship Counseling
- Neurologic Diagnostic Labs
- New Century Hospice, Inc (New Century Hospice of Dallas)
- New Hope Counseling & Wellness PLLC
- New Smile , P.a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.