Organization Active NPI

Life Skills Therapy Center

  • Rehabilitation Clinic/Center
  • McAllen, TX
National Provider Identifier
1912058637
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIFE SKILLS THERAPY CENTER
Practice address
220 S Bicentennial Blvd
Ste. a
McAllen, TX 78501-7016
Phone
(956) 688-6141
Fax
(956) 688-6997
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Mr. Joseph V Duazo, PT
Title
President
Phone
(956) 383-1858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

220 S Bicentennial Blvd
Ste. a
McAllen, TX 78501-7016

Mailing address

1016 Fort Hood Ave
Apt. 2
Edinburg, TX 78539-3331
Phone (956) 383-1858

Other identifiers 2

IdentifierTypeStateIssuer
0019MEOtherTXBCBS TX
137695OtherTXCHIPS

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1912058637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 FORT HOOD AVE",
            "address_2": "APT. 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393331",
            "telephone_number": "956-383-1858",
            "fax_number": "956-383-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BICENTENNIAL BLVD",
            "address_2": "STE. A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785017016",
            "telephone_number": "956-688-6141",
            "fax_number": "956-688-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "DUAZO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-383-1858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0019ME",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "137695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2007; 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.