Organization Active NPI

Superkids Rehabilitation Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
National Provider Identifier
1780752105
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
552160000 Issued in TX
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

Updated by the provider on Mar 14, 2012

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.NPI 1578608170
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1677775-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.