NPIMap

Organization Active NPI

One Rehab

  • Rehabilitation Clinic/Center
  • Richardson, TX
National Provider Identifier
1952954240
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ONE REHAB
Practice address
1761 International Pkwy Ste 135
Richardson, TX 75081-1864
Phone
(972) 845-7875
Fax
(469) 458-2096
NPI assigned
Jul 17, 2019
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Othman Elsehety
Title
Practice Manager
Phone
(469) 644-1671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1761 International Pkwy Ste 135
Richardson, TX 75081-1864

Mailing address

1761 International Pkwy Ste 135
Richardson, TX 75081-1864
Phone (972) 845-7875

Other practice location 1

6080 N Central Expy Ste 125
Dallas, TX 75206-5202
Phone (972) 845-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029000793 TX Part B Supplier - Clinic/Group Practice 7618208752 Receives reassigned benefits from 30 practitioners
Practice locations: Dallas, TX; Richardson, TX

National Provider Directory

National Provider Directory

Locations

6080 N Central Expy
Dallas, TX 75206
Phone (469) 646-0366

6080 N Central Expy
Ste 125
Dallas, TX 75206
Phone (972) 845-7875

1761 International Pkwy
Ste 135
Richardson, TX 75081
Phone (972) 757-8684

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1952954240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 INTERNATIONAL PKWY STE 135",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811864",
            "telephone_number": "972-845-7875",
            "fax_number": "469-458-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 INTERNATIONAL PKWY STE 135",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811864",
            "telephone_number": "972-845-7875",
            "fax_number": "469-458-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 N Central Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752065202",
            "country_code": "US",
            "telephone_number": "972-845-7875",
            "fax_number": "469-458-2096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "ELSEHETY",
        "authorized_official_first_name": "OTHMAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "469-644-1671"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.