NPIMap

Organization Active NPI

Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
National Provider Identifier
1760486708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
DORA ROBERTS REHABILITATION CENTER
Practice address
306 W 3Rd St
Big Spring, TX 79720-2429
Phone
(432) 267-3806
Fax
(432) 267-3809
NPI assigned
Jun 8, 2005
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
Penny Phillips
Title
Executive Director
Phone
(432) 267-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

306 W 3Rd St
Big Spring, TX 79720-2429

Mailing address

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

Other identifiers 1

IdentifierTypeStateIssuer
00L09GOtherTXMEDICARE B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040621000429 TX Part B Supplier - Clinic/Group Practice 0941285498 Receives reassigned benefits from 1 practitioner
Practice locations: Big Spring, TX
O20120110000464 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0941285498 Practice locations: Big Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 116

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760486708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 3RD ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202429",
            "telephone_number": "432-267-3806",
            "fax_number": "432-267-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 3RD ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202429",
            "telephone_number": "432-267-3806",
            "fax_number": "432-267-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORA ROBERTS REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "432-267-3806"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "00L09G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.