Active NPI
Big Country Rehabilitation, Inc.
Doing business as Rebound Sports & Physical Therapy
- Physical Therapy Clinic/Center
- Odessa, TX
National Provider Identifier
1699920330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BIG COUNTRY REHABILITATION, INC.
- Doing business as
- Rebound Sports & Physical Therapy
- Practice address
- 801 N Grant Ave Ste B
Odessa, TX 79761-4045 - Phone
- (325) 691-0093
- NPI assigned
- Nov 21, 2008
- Last updated
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Clay
- Title
- Office Manager
- Phone
- (325) 691-0093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
801 N Grant Ave Ste B
Odessa, TX 79761-4045
Mailing address
1720 S Clack St
Abilene, TX 79605-4611
Phone (325) 691-0093
Other names 1
- Rebound Sports & Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080826000426 | TX | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 4486729415 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wichita Falls, TX; Paris, TX; Denison, TX; Abilene, TX |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Steps 2 Strides of Sulphur Springs
- Physical Therapy Clinic/Center
- Sulphur Springs, TX
- NPI 1437489184
O20080826000426
-
dba Rebound Sports & Physical Therapy
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Abilene, TX
- NPI 1578556049
O20080826000426
-
dba Steps 2 Strides of Denison
- Physical Therapy Clinic/Center
- Denison, TX
- NPI 1770812885
O20080826000426
National Provider Directory
National Provider DirectoryLocations
801 N Grant Ave
Ste B
Odessa, TX 79761
Phone (325) 691-0093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1699920330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054611",
"telephone_number": "325-691-0093",
"fax_number": "325-691-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N GRANT AVE STE B",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614045",
"telephone_number": "325-691-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG COUNTRY REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "325-691-0093"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rebound Sports & Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, TX
- Leticia R Bernal, LBSW
- Better Hope Therapy Services, LLC
- Kaneza Walter Bgoya, M.D.
- Abhishek Bhari Jayadevappa, M.D.
- Naila Shakeel Bhutto, MD
- Big Spring Vamc
- Fatima Billoo
- Rehan N Billoo, MD
- Bio-Medical Applications of Texas, Inc. (Bma Odessa)
- Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Desert Milagro Dialysis Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.