Organization Active NPI

Schreiber Upper Extremity Rehab, P.C.

  • Specialist
  • Wichita Falls, TX
National Provider Identifier
1790969020
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
103539 Issued in TX
Legal business name
SCHREIBER UPPER EXTREMITY REHAB, P.C.
Practice address
1500 Brook Ave
Wichita Falls, TX 76301-5604
Phone
(940) 766-1515
Fax
(940) 766-1539
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Mrs. Teresa Schreiber, MA, OTR,CHTNPI 1215935804
Title
Owner
Phone
(940) 766-1515

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 103539 TX Primary

Addresses

Primary practice location

1500 Brook Ave
Wichita Falls, TX 76301-5604

Mailing address

PO Box 8186
Wichita Falls, TX 76307-8186
Phone (940) 766-1515

Other names 1

  • Teresa Schreiber Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930030120 TX DME Supplier - Independently-Practicing Occupational Therapist 0446320279 Practice locations: Wichita Falls, TX
O20110825000778 TX Part B Supplier - Clinic/Group Practice 0446320279 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

1501 Midwestern Pkwy
Ste 100
Wichita Falls, TX 76302
Phone (940) 766-1515

Practitioners & affiliated clinicians

Practitioners 1

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1790969020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8186",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763078186",
            "telephone_number": "940-766-1515",
            "fax_number": "940-766-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015604",
            "telephone_number": "940-766-1515",
            "fax_number": "940-766-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHREIBER UPPER EXTREMITY REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-766-1515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, OTR,CHT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "103539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teresa Schreiber",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.