NPIMap

Organization Active NPI

Wiggly Kidlets

Doing business as New York Pediatric Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Edinburg, TX
National Provider Identifier
1710240379
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
WIGGLY KIDLETS
Doing business as
New York Pediatric Rehab
Practice address
3145 Center Point Dr
Edinburg, TX 78539-8433
Phone
(956) 292-9106
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mr. Charles Obare
Title
Teacher
Phone
(956) 292-9106

Specialties & licenses 1

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

Addresses

Primary practice location

3145 Center Point Dr
Edinburg, TX 78539-8433

Mailing address

7106 Chestnut Oak LN
Brownsville, TX 78526-3063
Phone (956) 292-9106

Other names 1

  • New York Pediatric Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New York Pediatric Rehab4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1710240379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7106 CHESTNUT OAK LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263063",
            "telephone_number": "956-292-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 CENTER POINT DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398433",
            "telephone_number": "956-292-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGLY KIDLETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "OBARE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "956-292-9106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 3, 2012; 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.