Active NPI
Kingsville Home Rehab Services
- Physical Therapist
- Corpus Christi, TX
National Provider Identifier
1720095367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1140622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcus Sorenson, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Austin, TX
- NPI 1770762726
-
- Physical Therapist
- Kingsville, TX
- NPI 1871732776
-
- Physical Therapist
- Corpus Christi, TX
- NPI 1366621310
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.