Organization Active NPI

Childrens Rehabilitation Clinic

  • Rehabilitation Clinic/Center
  • Edinburg, TX
National Provider Identifier
1821397985
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CHILDRENS REHABILITATION CLINIC
Doing business as
Children's Rehabilitation Clinic, LLC
Practice address
4418 S McColl Rd
Edinburg, TX 78539-9608
Phone
(956) 627-2862
Fax
(956) 627-3823
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Virgil T Keller
Title
Administrator
Phone
(956) 627-2862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4418 S McColl Rd
Edinburg, TX 78539-9608

Mailing address

4418 S McColl Rd
Edinburg, TX 78539-9608
Phone (956) 627-2862

Other names 1

  • Children's Rehabilitation Clinic, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4418 S McColl Rd
Edinburg, TX 78539
Phone (956) 627-2862

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1821397985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-627-2862",
            "fax_number": "956-627-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-627-2862",
            "fax_number": "956-627-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-627-2862"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Rehabilitation Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.