Total Body Rehab, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

101443 Issued in TX

Legal business name

TOTAL BODY REHAB, INC

Practice address

1520 E San Pedro St
Ste 102
Laredo, TX 78041-5479

Phone

(956) 568-2105

Fax

(956) 568-1488

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa Arambula-Fallad, OT

Title

Owner

Phone

(956) 568-2105

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1629486683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E SAN PEDRO ST",
            "address_2": "STE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415429",
            "telephone_number": "956-568-2105",
            "fax_number": "956-568-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E SAN PEDRO ST",
            "address_2": "STE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415479",
            "telephone_number": "956-568-2105",
            "fax_number": "956-568-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "ARAMBULA-FALLAD",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-568-2105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "101443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86TT15",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1574428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.