Organization Active NPI

Mission Rehabilitation Services

  • Clinic/Center
  • Lubbock, TX
National Provider Identifier
1962495580
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
629990000 Issued in TX
Legal business name
MISSION REHABILITATION SERVICES
Practice address
1901 W Loop 289
Suite 3
Lubbock, TX 79407-1713
Phone
(806) 792-7125
Fax
(806) 792-7121
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Cecilia Mitchell, PT
Title
Owner / Physical Therapist
Phone
(806) 792-7125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 629990000 TX Primary

Addresses

Primary practice location

1901 W Loop 289
Suite 3
Lubbock, TX 79407-1713

Mailing address

1901 W Loop 289
Suite 3
Lubbock, TX 79407-1713
Phone (806) 792-7125

Other identifiers 1

IdentifierTypeStateIssuer
155968401MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1962495580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W LOOP 289",
            "address_2": "SUITE 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071713",
            "telephone_number": "806-792-7125",
            "fax_number": "806-792-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W LOOP 289",
            "address_2": "SUITE 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071713",
            "telephone_number": "806-792-7125",
            "fax_number": "806-792-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "806-792-7125",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "629990000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155968401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.