Organization Active NPI

Big Country Rehabilitation, Inc.

Doing business as Rebound Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Odessa, TX
National Provider Identifier
1699920330
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.