Active NPI
Superkids Rehabilitation Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Brownsville, TX
National Provider Identifier
1780752105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 552160000
- Legal business name
- SUPERKIDS REHABILITATION INC.
- Practice address
- 4430 E 14TH St
Suite E
Brownsville, TX 78521-3363 - Phone
- (956) 831-7600
- Fax
- (956) 831-0386
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark W. Bailey, D.C.
- Title
- Owner
- Phone
- (956) 831-7600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 552160000 | TX | Primary |
Addresses
Primary practice location
4430 E 14TH St
Suite E
Brownsville, TX 78521-3363
Mailing address
4430 E 14TH St
Suite E
Brownsville, TX 78521-3363
Phone (956) 831-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1677775-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5337 Padre Island Hwy
Brownsville, TX 78521
Phone (956) 831-7600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Olmito, TX
- NPI 1578608170
-
- Physical Therapist
- Plano, TX
- NPI 1740497734
-
- Occupational Therapist
- Brownsville, TX
- NPI 1104924240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1780752105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 E 14TH ST",
"address_2": "SUITE E",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213363",
"telephone_number": "956-831-7600",
"fax_number": "956-831-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 E 14TH ST",
"address_2": "SUITE E",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213363",
"telephone_number": "956-831-7600",
"fax_number": "956-831-0386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERKIDS REHABILITATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-831-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "TX",
"license": "552160000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677775-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.