All Stars Rehabilitation Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ALL STARS REHABILITATION SERVICES, LLC

Practice address

13500 E State Highway 107
Edinburg, TX 78542-1876

Phone

(956) 322-7305

NPI assigned

Mar 4, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rene BazanNPI 1720658867

Title

Owner/Director

Phone

(956) 322-7305

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Rene Bazan

  • Occupational Therapist
  • Edinburg, TX
  • NPI 1720658867
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1770230211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 E STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421876",
            "telephone_number": "956-322-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 E STATE HIGHWAY 107",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421876",
            "telephone_number": "956-322-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STARS REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "BAZAN",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "956-322-7305"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.