Vibra Rehabilitation Hospital of El Paso LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

VIBRA REHABILITATION HOSPITAL OF EL PASO LLC

Doing business as

Highlands Rehabilitation Hospital

Practice address

1395 George Dieter Dr
El Paso, TX 79936-7499

Phone

(915) 298-7222

Fax

(915) 298-7298

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Clint T. Fegan

Title

Sec/Treas

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Highlands Rehabilitation Hospital Doing business as

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1740693316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAST RIVER PARK PLACE E #460",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201560",
            "telephone_number": "559-892-2500",
            "fax_number": "559-892-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367499",
            "telephone_number": "915-298-7222",
            "fax_number": "915-298-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA REHABILITATION HOSPITAL OF EL PASO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16124219",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357697701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highlands Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Viatus, Inc
• Vibralife of El Paso LLC
• Delia Elisabeth Vicencio, MSPT
• Judith Vicencio, RSPS
• Manuel Alejandro Vicente, AUD
• Linda T Vick, L.C.S.W,

• Rehabilitation Hospital in El Paso, TX
• Providers in El Paso, TX by specialty
• Rehabilitation Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.