Organization Active NPI

Concho Valley Rehab, P.a.

  • Physical Therapist
  • San Angelo, TX
National Provider Identifier
1720199037
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1167940 Issued in TX
Legal business name
CONCHO VALLEY REHAB, P.A.
Practice address
2215 W Beauregard Ave
San Angelo, TX 76901-3701
Phone
(325) 224-8400
Fax
(325) 224-8405
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Tony Roy Smith, D.C.NPI 1376654673
Title
Chiropractor
Phone
(325) 224-8400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6606 TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1167940 TX Primary

Addresses

Primary practice location

2215 W Beauregard Ave
San Angelo, TX 76901-3701

Mailing address

2215 W Beauregard Ave
San Angelo, TX 76901-3701
Phone (325) 224-8400

Other names 1

  • Concho Valley Rehab, P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

2215 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 223-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720199037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013701",
            "telephone_number": "325-224-8400",
            "fax_number": "325-224-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013701",
            "telephone_number": "325-224-8400",
            "fax_number": "325-224-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO VALLEY REHAB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "325-224-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concho Valley Rehab, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.