Acovill Management Co., L.L.C.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ACOVILL MANAGEMENT CO., L.L.C.

Doing business as

Kids In Action Therapy

Practice address

2101 E Griffin Pkwy
Mission, TX 78572-3228

Phone

(956) 424-3733

Fax

(956) 424-3734

NPI assigned

Oct 31, 2005

Last updated

Feb 18, 2009By 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

Imelda R Acosta

Title

Asst. Administrator

Phone

(956) 424-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kids In Action Therapy Doing business as

Locations

Practitioners 5

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.

• Cristina Trevino Carrasco, MS., CCC/SLP

  • Speech-Language Pathologist
  • Mission, TX
  • NPI 1669616843
  NPD (past)
• Frances Rebecca De la Garza, SLP

  • Speech-Language Pathologist
  • McAllen, TX
  • NPI 1972777118
  NPD (past)
• Rolando Rodriguez, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Mission, TX
  • NPI 1194042572
  NPD (past)
• Dora Elia Vargas-Bustos, SLP

  • Speech-Language Pathologist
  • McAllen, TX
  • NPI 1063623072
  NPD (past)
• Stephen Walter Donnellon

  • Physical Therapist
  • Anchorage, AK
  • NPI 1093985517
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1871584672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723228",
            "telephone_number": "956-424-3733",
            "fax_number": "956-424-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723228",
            "telephone_number": "956-424-3733",
            "fax_number": "956-424-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOVILL MANAGEMENT CO., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "956-424-3733"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167185101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids In Action Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Eric Acebedo, CRNA
• Acema Group, PA
• Annette Acevedo
• Roberto Acevedo, NP
• Jacklin Nicole Acosta
• Andre R Acuna, PT, DPT
• Anessa Marie Acuna, PT, DPT
• Ariel Acuna, P.T.A.
• Kimiko Kay Acuna, P.T.A.
• Adalberto Esquivel Jr DDS Inc

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Mission, TX
• Providers in Mission, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.