Physical Therapy & Behavioral Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

672970000 Issued in TX

Legal business name

PHYSICAL THERAPY & BEHAVIORAL CENTER, LLC

Practice address

2637 Cornerstone Blvd Ste B
Edinburg, TX 78539-8479

Phone

(956) 793-0181

NPI assigned

Sep 3, 2012

Organization subpart

No

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

Authorized official

Name

Diana Balderas, RN

Title

Owner

Phone

(956) 793-0181

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Pena Barrera, DPT

  • Physical Therapist
  • Rio Grande City, TX
  • NPI 1982985024
  NPD (past)

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1659620847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 CORNERSTONE BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398479",
            "telephone_number": "956-793-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 CORNERSTONE BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398479",
            "telephone_number": "956-793-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "BALDERAS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-793-0181",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "672970000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Warejko Phillips, MD
• Thoi Tan Phung, PHARM D
• Physician Laboratory Services, LLC
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• Physical Therapist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.