NPIMap

Organization Active NPI

All About Rehab LLC

Doing business as Pediatric Rehab

  • Rehabilitation Clinic/Center
  • Weatherford, TX
National Provider Identifier
1891819157
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
67-6681 Issued in TX
Legal business name
ALL ABOUT REHAB LLC
Doing business as
Pediatric Rehab
Practice address
1836 Santa Fe Dr
Weatherford, TX 76086-6422
Phone
(817) 377-2535
Fax
(817) 292-0572
NPI assigned
Mar 19, 2007
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Barbara Diane Beaver, CPA
Title
Owner
Phone
(817) 377-2535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 67-6681 TX Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

1836 Santa Fe Dr
Weatherford, TX 76086-6422

Mailing address

3550 Hulen St
Suite D
Fort Worth, TX 76107-6885
Phone (817) 377-2535

Other identifiers 2

IdentifierTypeStateIssuer
85PQOtherBCBS
3000168-01MedicaidTX

Other names 1

  • Pediatric Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891819157. Details of each certification follow.

  • CCN 676681 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676681

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEDIATRIC REHAB
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Feb 24, 2012
Last certification
Jan 25, 2018
Ownership / control type
Proprietary
Facility address
1836 Santa Fe Drive
Weatherford, TX 76086

National Provider Directory

National Provider Directory

Locations

3550 Hulen St
Ste D
Fort Worth, TX 76107
Phone (817) 377-2535

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1891819157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 HULEN ST",
            "address_2": "SUITE D",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076885",
            "telephone_number": "817-377-2535",
            "fax_number": "817-292-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866422",
            "telephone_number": "817-377-2535",
            "fax_number": "817-292-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-377-2535",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "67-6681",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85PQ",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000168-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.