Organization Active NPI

Matisse Investment Group, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • McAllen, TX
National Provider Identifier
1902937303
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
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

Updated by the provider on May 7, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
172728101MedicaidTX

Other names 1

  • Circo Pediatric Rehabilitation Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.