NPIMap

Organization Active NPI

Victory Rehab LLC

  • Physical Therapist
  • Alamo, TX
National Provider Identifier
1831444801
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
673030000 Issued in TX
Legal business name
VICTORY REHAB LLC
Practice address
1103 Acacia Ave
Alamo, TX 78516
Phone
(956) 618-2419
Fax
(956) 618-2114
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Veronica Izaguirre
Title
Owner/Credentialing
Phone
(956) 618-2419

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 673030000 TX Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 564960000 TX

Addresses

Primary practice location

1103 Acacia Ave
Alamo, TX 78516

Mailing address

PO Box 74
San Juan, TX 78589-0074
Phone (956) 618-2444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1831444801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785890074",
            "telephone_number": "956-618-2444",
            "fax_number": "956-618-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 ACACIA AVE",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-618-2419",
            "fax_number": "956-618-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "IZAGUIRRE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/CREDENTIALING",
        "authorized_official_telephone_number": "956-618-2419"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "673030000",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "564960000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.