NPIMap

Organization Active NPI

Medcare Pediatric Rehab Center, LP

  • Pediatric Rehabilitation Medicine Physician
  • Stafford, TX
National Provider Identifier
1982254355
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
MEDCARE PEDIATRIC REHAB CENTER, LP
Practice address
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone
(713) 773-5100
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Paige Kinkade
Title
Ceo
Phone
(713) 995-9292

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Medical Specialty Clinic/Center 261QM2500X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Mailing address

12371 S Kirkwood Rd
Stafford, TX 77477-2836
Phone (713) 995-9292

Other practice location 1

5095 Preston Ave
Pasadena, TX 77505-2053
Phone (713) 995-9292

Other practice location 2

21004 North Fwy
Spring, TX 77373-2917
Phone (713) 773-5100

Other practice location 3

4818 E Sam Houston Pkwy N
Houston, TX 77015-3240
Phone (713) 773-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Stafford MedCare Pediatric Rehab Center, LP

National Provider Directory

National Provider Directory
Tax ID family
Medcare Pediatric Rehab Center LP11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

4818 E Sam Houston Pkwy N
Houston, TX 77015
Phone (713) 773-5100

21004 N Freeway
Spring, TX 77373
Phone (713) 773-5120

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1982254355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-995-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-773-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5095 Preston Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775052053",
            "country_code": "US",
            "telephone_number": "713-995-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21004 North Fwy",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773732917",
            "country_code": "US",
            "telephone_number": "713-773-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4818 E Sam Houston Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770153240",
            "country_code": "US",
            "telephone_number": "713-773-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDCARE PEDIATRIC REHAB CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-995-9292"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stafford",
            "affiliation": "Y",
            "affiliationName": "MedCare Pediatric Rehab Center, LP",
            "address_1": "12371 S Kirkwood Rd",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774772836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.