Organization Active NPI

Caprock Sports Rehabilitation Center, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lubbock, TX
National Provider Identifier
1679688535
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
1136992 Issued in TX
Legal business name
CAPROCK SPORTS REHABILITATION CENTER, INC
Practice address
4712 67TH St
Suite a
Lubbock, TX 79414-5004
Phone
(806) 795-2673
NPI assigned
Aug 20, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Bryan Williams
Title
Practice Management Consulting
Phone
(806) 771-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 1136992 TX Primary

Addresses

Primary practice location

4712 67TH St
Suite a
Lubbock, TX 79414-5004

Mailing address

4712 67TH St
Suite a
Lubbock, TX 79414-5004
Phone (806) 795-2673

National Provider Directory

National Provider Directory

Locations

409 8th St
Abernathy, TX 79311
Phone (806) 298-5884

4712 67th St
Ste A
Lubbock, TX 79414
Phone (806) 795-2673

6104 45th St
Unit A
Lubbock, TX 79407
Phone (806) 795-2673

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1679688535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 67TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145004",
            "telephone_number": "806-795-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 67TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145004",
            "telephone_number": "806-795-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPROCK SPORTS REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT CONSULTING",
        "authorized_official_telephone_number": "806-771-1166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "1136992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.