Individual provider Active NPI

Cheryl Boenig, P.T.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • McAllen, TX
National Provider Identifier
1790016210
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
1160500 Issued in TX
Practice address
3611 N Ware Rd
McAllen, TX 78501-3304
Phone
(956) 688-6969
Fax
(956) 688-6970
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 1160500 TX Primary

Addresses

Primary practice location

3611 N Ware Rd
McAllen, TX 78501-3304

Mailing address

3611 N Ware Rd
McAllen, TX 78501-3304
Phone (956) 688-6969

Other identifiers 1

IdentifierTypeStateIssuer
184743601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1160500TXMDComprehensive Outpatient Rehabilitation Facility (CORF)

Practice roles

OrganizationSpecialtyStatusNew patients
Kidiatric Therapy Services Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1790016210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013304",
            "telephone_number": "956-688-6969",
            "fax_number": "956-688-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013304",
            "telephone_number": "956-688-6969",
            "fax_number": "956-688-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENIG",
        "first_name": "CHERYL",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "1160500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184743601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.