Elsa Therapy & Wellness Center, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ELSA THERAPY & WELLNESS CENTER, INC.

Doing business as

Jump Start Therapy & Medical Clinic

Practice address

908 W. Edinburg Ave
Suite B
Elsa, TX 78543

Phone

(956) 262-1037

Fax

(956) 262-7756

NPI assigned

Jul 12, 2006

Last updated

Aug 23, 2018By 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

Mrs. Tanya Flores, OTR

Title

Clinical Director

Phone

(956) 461-2309

Specialties & licenses 15

Addresses

Other identifiers 6

Other names 1

• Jump Start Therapy & Medical Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780619031. Details of each certification follow.

• CCN 454880 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 454880

Legal name

JUMP START THERAPY & MEDICAL CLINIC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jun 2, 2008

Last certification

Jan 20, 2015

Ownership / control type

Proprietary

Facility address

908 West Edinburg Avenue, Suite B
Elsa, TX 78543

Locations

Practitioners 11

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.

• Monique L Cantu, ASST SLP

  • Speech-Language Assistant
  • Elsa, TX
  • NPI 1851537856
  NPD (past)
• Jackeline Chelsea Castellanos

  • Speech-Language Assistant
  • Elsa, TX
  • NPI 1194204982
  NPD (past)
• Ramon Chavez, OTR

  • Occupational Therapist
  • Elsa, TX
  • NPI 1366688384
  NPD (past)
• Oly Longoria, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Weslaco, TX
  • NPI 1598901480

  Speech-Language Assistant

  NPD (past)
• Kelly L Mapes, LPT

  • Physical Therapist
  • Elsa, TX
  • NPI 1770729667
  NPD (past)
• Pamela Munoz, ASST SLP

  • Speech-Language Assistant
  • Elsa, TX
  • NPI 1841320694
  NPD (past)
• Criselda V Rodriguez, COTA

  • Occupational Therapy Assistant
  • Elsa, TX
  • NPI 1962648857
  NPD (past)
• Sylvia Rodriguez, ASST SLP

  • Speech-Language Assistant
  • Elsa, TX
  • NPI 1497991384
  NPD (past)
• Rene Villalpando, OTR

  • Occupational Therapist
  • Edinburg, TX
  • NPI 1780883736
  NPD (past)
• Joseph D Weaver

  • Speech-Language Assistant
  • Elsa, TX
  • NPI 1366688251
  NPD (past)
• Walter John Zawislak, MD

  • Emergency Medicine Physician
  • Mission, TX
  • NPI 1992787568
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1780619031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-1037",
            "fax_number": "956-262-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W. EDINBURG AVE",
            "address_2": "SUITE B",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-1037",
            "fax_number": "956-262-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSA THERAPY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "956-461-2309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "37129",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208752",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1131290",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2064523",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112802",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110383",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "11512",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34195",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "12390",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34009",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "34739",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102929",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M2376",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K8596",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "141479",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834772-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY FACILITY",
            "identifier": "660900000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0009PG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834772-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY FACI",
            "identifier": "555000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jump Start Therapy & Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jump Start Therapy & Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Elsa, TX
• Providers in Elsa, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.