Texoma Rehab PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TEXOMA REHAB PLLC

Practice address

2800 W 15TH St
Plano, TX 75075-7526

Phone

(972) 612-9000

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Christy Cicalla

Title

Admin

Phone

(940) 642-1926

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Texoma Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texoma Rehab PLLC

  • Rehabilitation Hospital
  • Wichita Falls, TX
  • NPI 1942751748
  NPD tax ID

Practitioners 2

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

• Umu-Kulthum Al-Maawy, D.O

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1619310661
  Medicare reassignment Care Compare group NPD
• Shannon Renee Robinson, AGNP-C

  • Gerontology Nurse Practitioner
  • Plano, TX
  • NPI 1013685205
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1679022404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4049",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080049",
            "telephone_number": "940-642-1926",
            "fax_number": "940-569-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757526",
            "telephone_number": "972-612-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "CICALLA",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "940-642-1926"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas United Physician Services
• Texas Vascular Associates
• Texas Wound Care Specialists LLC
• Texas Wound Pros LLC
• Texoma Anesthesia P.a.
• TGC Anesthesia PLLC
• TGC Pathology PLLC
• Sonal Thacker, DNP, APRN, FNP-BC
• Bao Vuong Thai, D.C.
• Jonathan Thai

• Physical Medicine & Rehabilitation Physician in Plano, TX
• Providers in Plano, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.