NPIMap

Organization Active NPI

Ressler Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1649473869
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
651060000 Issued in TX
Legal business name
RESSLER REHABILITATION LLC
Practice address
4635 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-1667
Phone
(936) 622-0098
Fax
(888) 552-2070
NPI assigned
Jun 6, 2007
Last updated
Jan 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Mr. Robert Ryan Ressler, MPT, LAT, ATC, CSCSNPI 1932108537
Title
Ceo
Phone
(936) 556-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 651060000 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X 5774970001 TX

Addresses

Primary practice location

4635 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-1667

Mailing address

4635 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-1667
Phone (936) 622-0098

Other identifiers 1

IdentifierTypeStateIssuer
169550402MedicaidTX

National Provider Directory

National Provider Directory

Locations

1336 N University Dr
Nacogdoches, TX 75961
Phone (936) 569-7300

4800 NE Stallings Dr
Ste 120
Nacogdoches, TX 75965
Phone (936) 560-0281

Practitioners & affiliated clinicians

Practitioners 2

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1649473869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667",
            "telephone_number": "936-622-0098",
            "fax_number": "888-552-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667",
            "telephone_number": "936-622-0098",
            "fax_number": "888-552-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESSLER REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "RESSLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-556-1510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, LAT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "651060000",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "5774970001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169550402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.