All American Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1014710 Issued in TX

Legal business name

ALL AMERICAN REHABILITATION, INC.

Doing business as

Polk Wisdom Rehab

Practice address

1201 W Camp Wisdom Rd Ste 320
Dallas, TX 75232-3446

Phone

(817) 784-6323

Fax

(817) 784-6323

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brent G Haley, PT

Title

Clinic/Director

Phone

(817) 784-6323

Specialties & licenses 1

Addresses

Other names 1

• Polk Wisdom Rehab Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brentl Gerard Haley, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1831106723
  NPD (past)
• Romola Anne Madziar, P.T.

  • Physical Therapist
  • Dallas, TX
  • NPI 1205106390
  NPD (past)
• Enola Marie Nelson, PA PHD

  • Medical Physician Assistant
  • Kerens, TX
  • NPI 1376861799
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922193267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W CAMP WISDOM RD STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752323446",
            "telephone_number": "817-784-6323",
            "fax_number": "817-784-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W CAMP WISDOM RD STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752323446",
            "telephone_number": "817-784-6323",
            "fax_number": "817-784-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINIC/DIRECTOR",
        "authorized_official_telephone_number": "817-784-6323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1014710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk Wisdom Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All Care Dental P a
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• All Care Eye Clinic
• All Care Eye Clinic

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.