NPIMap

Organization Active NPI

Stoneridge Physical Rehabilitation Center, Inc

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1700060738
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1106128 Issued in TX
Legal business name
STONERIDGE PHYSICAL REHABILITATION CENTER, INC
Practice address
4752 S. Jackson Rd
Edinburg, TX 78539
Phone
(956) 664-8333
Fax
(956) 618-3952
NPI assigned
Dec 27, 2007
Organization subpart
Yes
Parent organization
STONERIDGE PHYSICAL REHABILITATION CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Mr. Mark Andrew Rodriguez
Title
President
Phone
(956) 664-8333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC8120 TX
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC5068 TX
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT1106128 TX Primary

Addresses

Primary practice location

4752 S. Jackson Rd
Edinburg, TX 78539

Mailing address

PO Box 6463
McAllen, TX 78502
Phone (956) 664-8333

Other names 1

  • Stoneridge Injury & Accident Clinic Former legal business name

National Provider Directory

National Provider Directory
Part of
Stoneridge Physical Rehab

Locations

4752 S Jackson Rd
Edinburg, TX 78539
Phone (956) 664-8333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1700060738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6463",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78502",
            "telephone_number": "956-664-8333",
            "fax_number": "956-618-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 S. JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-664-8333",
            "fax_number": "956-618-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONERIDGE PHYSICAL REHABILITATION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONERIDGE PHYSICAL REHABILITATION CENTER, INC",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-664-8333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8120",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5068",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1106128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneridge Injury & Accident Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.