Organization Active NPI

Victory Rehab, LLC

  • Physical Therapist
  • Pharr, TX
National Provider Identifier
1760856595
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
673030001 Issued in TX
Legal business name
VICTORY REHAB, LLC
Practice address
7013 S Cage Blvd Ste F
Pharr, TX 78577-8674
Phone
(956) 618-2419
Fax
(956) 618-2114
NPI assigned
Nov 17, 2015
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Veronica Izaguirre
Title
Owner
Phone
(956) 618-2419

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 673030001 TX Primary
Occupational Therapist 225X00000X 564960001 TX

Addresses

Primary practice location

7013 S Cage Blvd Ste F
Pharr, TX 78577-8674

Mailing address

17924 Sabal Palm Dr
Ste 3
Penitas, TX 78576
Phone (956) 581-8060

National Provider Directory

National Provider Directory

Locations

17924 Sabal Palm Dr
Ste 3
Penitas, TX 78576
Phone (956) 581-8060

7013 S Cage Blvd
Ste F
Pharr, TX 78577
Phone (956) 580-1100

1201 N Raul Longoria Rd
Ste N
San Juan, TX 78589
Phone (956) 618-2419

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1760856595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17924 SABAL PALM DR",
            "address_2": "STE 3",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "78576",
            "telephone_number": "956-581-8060",
            "fax_number": "956-581-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 S CAGE BLVD STE F",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785778674",
            "telephone_number": "956-618-2419",
            "fax_number": "956-618-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "IZAGUIRRE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-618-2419"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "673030001",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "564960001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.