Organization Active NPI

Southwest Rehab Solutions

  • Physical Therapist
  • El Centro, CA
National Provider Identifier
1902126162
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33814 Issued in CA
Legal business name
SOUTHWEST REHAB SOLUTIONS
Practice address
1463 S 4TH St
El Centro, CA 92243-4749
Phone
(760) 791-6498
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Ms. Lude Regine Ricard, PT
Title
Director of Rehab
Phone
(619) 621-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT33814 CA Primary

Addresses

Primary practice location

1463 S 4TH St
El Centro, CA 92243-4749

Mailing address

4217 Oliver CT
6
San Diego, CA 92109-3955
Phone (760) 791-6498

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1902126162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 OLIVER CT",
            "address_2": "6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093955",
            "telephone_number": "760-791-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434749",
            "telephone_number": "760-791-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST REHAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "RICARD",
        "authorized_official_first_name": "LUDE",
        "authorized_official_middle_name": "REGINE",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "619-621-9215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.