Organization Active NPI

Eccleage Therapy LLC

  • Rehabilitation Clinic/Center
  • Penitas, TX
National Provider Identifier
1912949264
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ECCLEAGE THERAPY LLC
Practice address
39614 Mile 7 Rd
Penitas, TX 78576-7515
Phone
(956) 800-3200
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Ikechukwu Umeh
Title
Owner/Physical Therapist
Phone
(956) 800-3200

Specialties & licenses 1

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

Addresses

Primary practice location

39614 Mile 7 Rd
Penitas, TX 78576-7515

Mailing address

220 W Nolana Ave
McAllen, TX 78504-2513
Phone (956) 800-3200

Other identifiers 1

IdentifierTypeStateIssuer
184190002MedicaidTX

National Provider Directory

National Provider Directory

Locations

3310 W Mile 7 Rd
Mission, TX 78574
Phone (956) 581-8060

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1912949264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W NOLANA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042513",
            "telephone_number": "956-800-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39614 MILE 7 RD",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785767515",
            "telephone_number": "956-800-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCLEAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "UMEH",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "956-800-3200"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184190002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penitas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.