Organization Active NPI

Reata Rehabilitation

  • Physical Therapy Clinic/Center
  • Ponder, TX
National Provider Identifier
1982806634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REATA REHABILITATION
Practice address
9204 T N Skiles Rd
Ponder, TX 76259-5819
Phone
(940) 479-2612
NPI assigned
Jun 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becca Glaser, OTR
Title
Executive Director
Phone
(940) 479-2612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

9204 T N Skiles Rd
Ponder, TX 76259-5819

Mailing address

9204 T N Skiles Rd
Ponder, TX 76259-5819
Phone (940) 479-2612

National Provider Directory

National Provider Directory

Locations

9204 T N Skiles Rd
Ponder, TX 76259
Phone (940) 479-2612

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982806634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 T N SKILES RD",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "762595819",
            "telephone_number": "940-479-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 T N SKILES RD",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "762595819",
            "telephone_number": "940-479-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REATA REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "BECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "940-479-2612",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponder, TX

Sources for this page

  • 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.