Organization Active NPI

Wiggles Children's Rehab

  • Preferred Provider Organization
  • Mission, TX
National Provider Identifier
1831268135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
18814 Issued in TX
Legal business name
WIGGLES CHILDREN'S REHAB
Practice address
2011 E Griffin Pkwy
Mission, TX 78572-3222
Phone
(956) 585-2439
Fax
(956) 585-3145
NPI assigned
Nov 8, 2006
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
Mrs. Veronica M. Sayavedra, M.A., CCC SLPNPI 1033304936
Title
Program Director
Phone
(956) 585-2439

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
Preferred Provider Organization 305R00000X 18814 TX Primary

Addresses

Primary practice location

2011 E Griffin Pkwy
Mission, TX 78572-3222

Mailing address

2011 E Griffin Pkwy
Mission, TX 78572-3222
Phone (956) 585-2439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831268135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723222",
            "telephone_number": "956-585-2439",
            "fax_number": "956-585-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723222",
            "telephone_number": "956-585-2439",
            "fax_number": "956-585-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGLES CHILDREN'S REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAYAVEDRA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "956-585-2439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC SLP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "18814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, 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.