Organization Active NPI

Therateam Rehab, LLC

  • Occupational Therapist
  • Saginaw, TX
National Provider Identifier
1790811297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104978 Issued in TX
Legal business name
THERATEAM REHAB, LLC
Practice address
909 Hemlock TRL
Saginaw, TX 76131-3551
Phone
(817) 455-1614
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary M Holstein, L.O.T.NPI 1477608461
Title
Member
Phone
(817) 455-1614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 104978 TX Primary

Addresses

Primary practice location

909 Hemlock TRL
Saginaw, TX 76131-3551

Mailing address

909 Hemlock TRL
Saginaw, TX 76131-3551
Phone (817) 455-1614

National Provider Directory

National Provider Directory

Locations

4800 White Settlement Rd
Ft Worth, TX 76114
Phone (817) 377-4434

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790811297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HEMLOCK TRL",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313551",
            "telephone_number": "817-455-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HEMLOCK TRL",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313551",
            "telephone_number": "817-455-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERATEAM REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLSTEIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-455-1614",
        "authorized_official_credential": "L.O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.