Organization Active NPI

Therarehab and Wellness PLLC

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1609591148
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAREHAB AND WELLNESS PLLC
Practice address
4300 N Central Expy Ste 350
Dallas, TX 75206-6528
Phone
(469) 902-9948
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Mark Anthony Rodriguez, PT, DPTNPI 1437894409
Title
Physical Therapist
Phone
(915) 276-0355

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4300 N Central Expy Ste 350
Dallas, TX 75206-6528

Mailing address

4740 14TH St Ste T3
Plano, TX 75074-7318

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221102002580 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941677066 Receives reassigned benefits from 7 practitioners
Practice locations: Dallas, TX
O20240724004279 TX DME Supplier - Independently-Practicing Physical Therapist 0941677066 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Tax ID family
Therarehab and Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4300 N Central Expy
Ste 280B
Dallas, TX 75206
Phone (915) 276-0355

4300 N Central Expy
Ste 280
Dallas, TX 75206

4300 N Central Expy
Ste 32
Dallas, TX 75206

4300 N Central Expy
Ste 350
Dallas, TX 75206
Phone (469) 386-5240

4300 N Central Expy
Ste 325
Dallas, TX 75206
Phone (469) 249-6507

Practitioners & affiliated clinicians

Practitioners 7

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": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1609591148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 14TH ST STE T3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N CENTRAL EXPY STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066528",
            "telephone_number": "469-902-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAREHAB AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "915-276-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.