Organization Active NPI

Herald Rehabilitation, LLC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1659531226
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1074169 Issued in TX
Legal business name
HERALD REHABILITATION, LLC
Practice address
621 W Plano Pkwy
Suite 241
Plano, TX 75075-8966
Phone
(972) 424-6423
Fax
(972) 424-6519
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Hermel Bejosano Videna, PTNPI 1811089154
Title
Managing Member
Phone
(469) 358-5166

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1074169 TX Primary

Addresses

Primary practice location

621 W Plano Pkwy
Suite 241
Plano, TX 75075-8966

Mailing address

4329 Benton Elm Dr
Plano, TX 75024-7279
Phone (972) 424-6423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1659531226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 BENTON ELM DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247279",
            "telephone_number": "972-424-6423",
            "fax_number": "972-424-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W PLANO PKWY",
            "address_2": "SUITE 241",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758966",
            "telephone_number": "972-424-6423",
            "fax_number": "972-424-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "VIDENA",
        "authorized_official_first_name": "HERMEL",
        "authorized_official_middle_name": "BEJOSANO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-358-5166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1074169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.