Bonafide Rehab Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BONAFIDE REHAB SERVICES, LLC

Practice address

1921 S 34TH St
McAllen, TX 78503-8323

Phone

(956) 821-3646

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Jose Erubel Rios, OT

Title

Owner/Administrator

Phone

(956) 821-3646

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1831672518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S 34TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038323",
            "telephone_number": "956-821-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S 34TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038323",
            "telephone_number": "956-821-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAFIDE REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ERUBEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-821-3646",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207861006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207861007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in McAllen, TX
• Providers in McAllen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.