Productive Rehab Group

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2042778 Issued in TX

Legal business name

PRODUCTIVE REHAB GROUP

Practice address

5033 Kenton Royalle
San Antonio, TX 78240-1559

Phone

(210) 386-9936

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Devaughn Vinson

Title

P.T.a.

Phone

(210) 386-9936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1881839629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300967",
            "telephone_number": "210-386-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 KENTON ROYALLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401559",
            "telephone_number": "210-386-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTIVE REHAB GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "DEVAUGHN",
        "authorized_official_title_or_position": "P.T.A.",
        "authorized_official_telephone_number": "210-386-9936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "2042778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.