Ir Rehab PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

IR REHAB PC

Practice address

2419 Palermo Pkwy BLDG a
Temple, TX 76502-3790

Phone

(254) 699-3933

Fax

(254) 526-8604

NPI assigned

Jun 17, 2019

Organization subpart

Yes

Parent organization

IR REHAB PCAs reported in NPPES

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

Authorized official

Name

Jennifer Ruesewald

Title

Revenue Cycle Manager

Phone

(254) 699-3933

Specialties & licenses 1

Addresses

Other names 1

• Integrity Rehab Doing business as

Tax ID family

Ir Rehab PC2 organizations share this tax ID, including this one

Part of

Ir Rehab PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ir Rehab PC

  • Rehabilitation Clinic/Center
  • Killeen, TX
  • NPI 1245785146
  NPD tax ID

Locations

Practitioners 1

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

• Abigail Shepherd

  • Physical Therapist
  • Killeen, TX
  • NPI 1700599560
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1841850443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10340",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470340",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 PALERMO PKWY BLDG A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023790",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Green Hollow Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025997",
            "country_code": "US",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IR REHAB PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IR REHAB PC",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "RUESEWALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "254-699-3933"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Interrante
• Mary Jane Ireland, APRN-FNP-C
• Mary Gaines Walker Irish, M.D.
• Chelsey Rae Isaacs, APRN
• Nicole Isaacs, BSN, RN
• Janet Isat, APRN, CPNP,IBCLC

• Rehabilitation Clinic/Center in Temple, TX
• Providers in Temple, 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 Dec 19, 2022; 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.