Southern Rehab Staffing, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN REHAB STAFFING, LLC

Practice address

2918 Pleasant Grove Rd
Texarkana, TX 75503-0064

Phone

(903) 628-1214

Fax

(903) 347-2255

NPI assigned

Mar 22, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Grimmett, PT, DPTNPI 1013434943

Title

Physical Therapist/Billing/Creden

Phone

(903) 628-1214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Rachel Ann Grimmett, PT, DPT

  • Physical Therapist
  • Texarkana, TX
  • NPI 1013434943
  Medicare reassignment Care Compare group NPD Authorized official
• Claire Noelle Ashby, PT, DPT

  • Physical Therapist
  • Garland, TX
  • NPI 1902386246
  Medicare reassignment Care Compare group NPD
• Johna Williams

  • Physical Therapist
  • Texarkana, TX
  • NPI 1639447915
  Medicare reassignment Care Compare group NPD
• Clay Canterbury, DPT

  • Physical Therapist
  • Texarkana, TX
  • NPI 1336901479
  Medicare reassignment
• Kent Grimmett

  • Physical Therapy Assistant
  • Texarkana, TX
  • NPI 1902501950
  NPD
• Lexius Winfrey

  • Physical Therapy Assistant
  • Texarkana, TX
  • NPI 1295430213
  NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1851093777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 PLEASANT GROVE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030064",
            "telephone_number": "903-628-1214",
            "fax_number": "903-347-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 PLEASANT GROVE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030064",
            "telephone_number": "903-628-1214",
            "fax_number": "903-347-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REHAB STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GRIMMETT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/BILLING/CREDEN",
        "authorized_official_telephone_number": "903-628-1214",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey Paige Solida, PTA
• John Alan Solomon, MD
• Ladonna Sorenson
• Marney K Sorenson, MD
• Sotto International, Inc. (Serenity Care)
• Southern Sky Vision Center (Fant Eye Care)
• Southwest Care Associates LP (Independent Living Center)
• Annie Sparks, PA-C
• Matthew Nathan Sparks, PA-C
• Special Health Resources for Texas Incorporated (Integrated Pediatric Care Clinic)

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.