NPIMap

Organization Active NPI

Ruthe B. Cowl Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
National Provider Identifier
1598759573
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
108458 Issued in TX
Legal business name
RUTHE B. COWL REHABILITATION CENTER
Practice address
1220 N Malinche Ave
Laredo, TX 78043-3354
Phone
(956) 722-2431
Fax
(956) 722-7553
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Ariana Mora
Title
Administrative Assistant
Phone
(956) 722-2431

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 59505 TX
Case Management Agency 251B00000X 39688 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 108458 TX Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 104887 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 116580 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 101216 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 615780000 TX

Addresses

Primary practice location

1220 N Malinche Ave
Laredo, TX 78043-3354

Mailing address

1220 N Malinche Ave
Laredo, TX 78043-3354
Phone (956) 722-2431

Other identifiers 5

IdentifierTypeStateIssuer
094453001MedicaidTX
094453003MedicaidTX
1689969776MedicaidTX
0032BGOtherTXBC/BS
284880601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050719000660 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0143257477 Practice locations: Laredo, TX
O20231020000809 TX Part B Supplier - Clinic/Group Practice 0143257477 Receives reassigned benefits from 11 practitioners
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

1220 N Malinche Ave
Laredo, TX 78043
Phone (956) 722-2431

Practitioners & affiliated clinicians

Practitioners 11

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": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1598759573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N MALINCHE AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433354",
            "telephone_number": "956-722-2431",
            "fax_number": "956-722-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MALINCHE AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433354",
            "telephone_number": "956-722-2431",
            "fax_number": "956-722-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHE B. COWL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "956-722-2431"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59505",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "39688",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "108458",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "104887",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "116580",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "101216",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "615780000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094453001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094453003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689969776",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0032BG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284880601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.