NPIMap

Organization Active NPI

Rhinestone Resource Group LLC

Doing business as Rhinestone Healthcare

  • Rehabilitation Practitioner
  • Mansfield, TX
National Provider Identifier
1609246529
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
RHINESTONE RESOURCE GROUP LLC
Doing business as
Rhinestone Healthcare
Practice address
2363 Highway 287 N Ste 205
Mansfield, TX 76063-7587
Phone
(817) 592-3021
Fax
(888) 557-1669
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Mrs. Angie Leigh Coby
Title
Admin
Phone
(817) 592-3021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Rehabilitation PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

2363 Highway 287 N Ste 205
Mansfield, TX 76063-7587

Mailing address

4204 Stonebriar TRL
Mansfield, TX 76063-5875
Phone (817) 592-3021

Other practice location 1

4204 Stonebriar Trl
Mansfield, TX 76063-5875
Phone (175) 923-0218

Other identifiers 1

IdentifierTypeStateIssuer
4121493-01MedicaidTX

Other names 1

  • Rhinestone Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160621001230 TX Part B Supplier - Clinic/Group Practice 8729379821 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

2363 Highway 287 N
Ste 205
Mansfield, TX 76063
Phone (817) 592-3021

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1609246529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 STONEBRIAR TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635875",
            "telephone_number": "817-592-3021",
            "fax_number": "888-557-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 287 N STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637587",
            "telephone_number": "817-592-3021",
            "fax_number": "888-557-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4204 Stonebriar Trl",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635875",
            "country_code": "US",
            "telephone_number": "175-923-0218",
            "fax_number": "888-557-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHINESTONE RESOURCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "COBY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "817-592-3021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4121493-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhinestone Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rhinestone Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.