NPIMap

Organization Active NPI

RGV Nueces Rehabilitation Inc.

Doing business as Innovative Physical Therapy

  • Sports Physical Therapist
  • Laredo, TX
National Provider Identifier
1619045234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1164580 Issued in TX
Legal business name
RGV NUECES REHABILITATION INC.
Doing business as
Innovative Physical Therapy
Practice address
1605 Del Mar Blvd
Suite 14
Laredo, TX 78041
Phone
(361) 986-0708
Fax
(361) 986-0751
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christina Ener
Title
Administrator
Phone
(361) 986-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X 1164580 TX Primary

Addresses

Primary practice location

1605 Del Mar Blvd
Suite 14
Laredo, TX 78041

Mailing address

1605 Del Mar Blvd
Suite 14
Laredo, TX 78041
Phone (361) 986-0708

Other identifiers 1

IdentifierTypeStateIssuer
1164580OtherTXSTATE PT LICENSE

Other names 1

  • INNOVATIVE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1605 E Del Mar Blvd
Ste 14
Laredo, TX 78041
Phone (361) 986-0708

Practitioners & affiliated clinicians

Practitioners 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619045234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 DEL MAR BLVD",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DEL MAR BLVD",
            "address_2": "SUITE 14",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "361-986-0708",
            "fax_number": "361-986-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV NUECES REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-986-0708",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1164580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "1164580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.