T-Rex Therapy Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

T-REX THERAPY SERVICES LLC

Practice address

322 Saint George St
Gonzales, TX 78629-3912

Phone

(956) 445-2869

Fax

(956) 688-6970

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Hernandez, C.O.T.A.

Title

President/ Ceo

Phone

(956) 445-2869

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 676664

Legal name

T-REX THERAPY SERVICES LLC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Aug 17, 2010

Last certification

Feb 17, 2016

Ownership / control type

Proprietary

Facility address

322 Saint George Street
Gonzales, TX 78629

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Wynon Thomas, PT

  • Physical Therapist
  • Gonzales, TX
  • NPI 1255650271
  NPD (past)
• Kate J Wilde, CCC/SLP

  • Speech-Language Pathologist
  • Gonzales, TX
  • NPI 1730494196
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1821234535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SAINT GEORGE ST",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293912",
            "telephone_number": "830-672-7300",
            "fax_number": "830-672-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SAINT GEORGE ST",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293912",
            "telephone_number": "956-445-2869",
            "fax_number": "956-688-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T-REX THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "956-445-2869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.T.A."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Marie Sanchez, LVN
• Lalitha Reddy Shada
• Smiles of Gonzales, PLLC
• Leslie Smith, DDS
• Stacia D Sweeney, OTA
• Marie Ida Terreo, LVN
• Texan Nursing and Rehab of Gonzales LLC
• Texas Emergency Room Services PA
• The Vaz Clinic
• John William Thomas, M.D.

• Rehabilitation Clinic/Center in Gonzales, TX
• Providers in Gonzales, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.