Organization Active NPI

Kingsville Home Rehab Services

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1720095367
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1140622 Issued in TX
Legal business name
KINGSVILLE HOME REHAB SERVICES
Doing business as
Synergy Physical Therapy & Sports Medicine Center
Practice address
3633 S Staples St
Corpus Christi, TX 78411-2438
Phone
(361) 225-2525
Fax
(361) 225-2530
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Marcus Sorenson, DPTNPI 1770762726
Title
Administrator/Physical Therapist
Phone
(361) 225-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1140622 TX Primary

Addresses

Primary practice location

3633 S Staples St
Corpus Christi, TX 78411-2438

Mailing address

12417 N Mopac Expwy
Ste 575B
Austin, TX 78758
Phone (361) 225-2525

Other names 1

  • Synergy Physical Therapy & Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

12417 N Mopac Expy
Austin, TX 78758

12417 N Mopac Expy
Ste 575B
Austin, TX 78758
Phone (512) 821-1101

Practitioners & affiliated clinicians

Practitioners 3

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1720095367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 N MOPAC EXPWY",
            "address_2": "STE 575B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "361-225-2525",
            "fax_number": "361-225-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112438",
            "telephone_number": "361-225-2525",
            "fax_number": "361-225-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSVILLE HOME REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "ADMINISTRATOR/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "361-225-2525",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1140622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Physical Therapy & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.