West Texas Rehabilitation Center

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

WEST TEXAS REHABILITATION CENTER

Doing business as

Rehab Sport Center

Practice address

2074 Antilley Rd
Suite 100
Abilene, TX 79606-5209

Phone

(325) 437-1219

NPI assigned

Mar 5, 2007

Last updated

Oct 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Childs

Title

VP of Finance

Phone

(325) 793-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rehab Sport Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The West Texas Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Abilene, TX
  • NPI 1922112499

  O20040603000498

  Same enrollment

Locations

Practitioners 3

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.

• Charles Clayton Jowers, PT,DPT

  • Physical Therapist
  • Dyess AFB, TX
  • NPI 1497990402
  NPD (past)
• Bryan Scott Lange, P.T.

  • Physical Therapist
  • Abilene, TX
  • NPI 1275606295
  NPD (past)
• Tara Janeene Regala

  • Physical Therapist
  • Abilene, TX
  • NPI 1942373972
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1699804732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HARTFORD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054603",
            "telephone_number": "325-793-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "address_2": "SUITE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-437-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "325-793-3400"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137920805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Sport Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Texas Back Clinic, P.C.
• West Texas Home Infusion Company LLC
• West Texas Hospital, LTD (West Texas Hospital)
• West Texas Lung Clinic PA
• West Texas Radiology Group, PA
• West Texas Rehabilitation Center
• West Texas TMS PLLC
• West Texas Urgent Care LLC (My Urgent Care Clinic)
• West Wharton County Hospital District (Avir at Abilene)
• Ellen B West, M.D.

• Rehabilitation Clinic/Center in Abilene, TX
• Providers in Abilene, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.