Active NPI
Matisse Investment Group, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- McAllen, TX
National Provider Identifier
1902937303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- MATISSE INVESTMENT GROUP, LLC
- Doing business as
- Circo Pediatric Rehabilitation Specialists
- Practice address
- 2010 S Cynthia St
Suite 107
McAllen, TX 78503-1386 - Phone
- (956) 994-9501
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fernando Rivera
- Title
- Ceo
- Phone
- (956) 994-9501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
2010 S Cynthia St
Suite 107
McAllen, TX 78503-1386
Mailing address
2010 S Cynthia St
Suite 107
McAllen, TX 78503-1386
Phone (956) 994-9501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172728101 | Medicaid | TX |
Other names 1
- Circo Pediatric Rehabilitation Specialists
National Provider Directory
National Provider DirectoryLocations
3805 Plantation Grove Blvd
Ste C
Mission, TX 78572
Phone (956) 424-3749
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Mission, TX
- NPI 1972784791
-
- Physical Therapist
- Mission, TX
- NPI 1639350457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336348800000",
"number": "1902937303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 S CYNTHIA ST",
"address_2": "SUITE 107",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031386",
"telephone_number": "956-994-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 S CYNTHIA ST",
"address_2": "SUITE 107",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031386",
"telephone_number": "956-994-9501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATISSE INVESTMENT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2012-05-07",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-994-9501",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172728101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Circo Pediatric Rehabilitation Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.