NPIMap

Organization Active NPI

Rehab Source, Inc

  • Physical Therapy Clinic/Center
  • Lubbock, TX
National Provider Identifier
1720104482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB SOURCE, INC
Practice address
6913 Indiana Ave
Lubbock, TX 79413-6111
Phone
(806) 687-2788
Fax
(806) 687-2791
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Stephen Caffey, P.T.NPI 1093706012
Title
President Rehab Source, Inc
Phone
(806) 687-2788

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 Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

6913 Indiana Ave
Lubbock, TX 79413-6111

Mailing address

6913 Indiana Ave
Lubbock, TX 79413
Phone (806) 687-2788

Other names 1

  • Rehab Source Doing business as

National Provider Directory

National Provider Directory

Locations

6913 Indiana Ave
Lubbock, TX 79413
Phone (806) 687-2788

Practitioners & affiliated clinicians

Practitioners 4

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79413",
            "telephone_number": "806-687-2788",
            "fax_number": "806-687-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136111",
            "telephone_number": "806-687-2788",
            "fax_number": "806-687-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAFFEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT REHAB SOURCE, INC",
        "authorized_official_telephone_number": "806-687-2788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.