NPIMap

Organization Active NPI

Texas Regional Edema Lymphedema and Wound Care Center LLC

  • Physical Therapy Clinic/Center
  • Kerrville, TX
National Provider Identifier
1639262264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TEXAS REGIONAL EDEMA LYMPHEDEMA AND WOUND CARE CENTER LLC
Practice address
1232 Bandera Hwy.
Kerrville, TX 78028
Phone
(830) 257-9770
Fax
(830) 257-9760
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Carolyn J. Bailey
Title
C.E.O.
Phone
(830) 257-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

1232 Bandera Hwy.
Kerrville, TX 78028

Mailing address

P. O. Box 291922
Kerrville, TX 78029-1922
Phone (830) 257-9770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639262264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 291922",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780291922",
            "telephone_number": "830-257-9770",
            "fax_number": "830-257-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BANDERA HWY.",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-257-9770",
            "fax_number": "830-257-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REGIONAL EDEMA LYMPHEDEMA AND WOUND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "830-257-9770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, 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.