Active NPI
Rehab Managed Care of Arizona, Inc
- Physical Therapy Clinic/Center
- Sugar Land, TX
National Provider Identifier
1992067078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- REHAB MANAGED CARE OF ARIZONA, INC
- Practice address
- 14090 Southwest Fwy Ste 101
Sugar Land, TX 77478-3678 - Phone
- (916) 782-1212
- Fax
- (916) 773-1481
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia McCormick
- Title
- VP of Revenue Cycle Management
- Phone
- (916) 789-8115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
14090 Southwest Fwy Ste 101
Sugar Land, TX 77478-3678
Mailing address
PO Box 846951
Los Angeles, CA 90084-6951
Phone (916) 789-8115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462281301 | Medicaid | TX |
Other names 1
- VibrantCare Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220420000150 | TX | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0345637450 | Practice locations: Sugar Land, TX |
Outpatient physical therapy / speech pathology certification: CCN 676776
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- VIBRANTCARE REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Oct 25, 2022
- Last certification
- Aug 4, 2025
- Ownership / control type
- Proprietary
- Facility address
- 14090 Southwest Frwy Ste 1001
Sugar Land, TX 77478
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physical Therapy Clinic/Center
- Grand Prairie, TX
- NPI 1205679164
0345637450
National Provider Directory
National Provider Directory- Tax ID family
- Rehab Managed Care of Arizona Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Grand Prairie, TX
- NPI 1205679164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700611200000",
"number": "1992067078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846951",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900846951",
"telephone_number": "916-789-8115",
"fax_number": "916-773-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14090 SOUTHWEST FWY STE 101",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783678",
"telephone_number": "916-782-1212",
"fax_number": "916-773-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB MANAGED CARE OF ARIZONA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "916-789-8115"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462281301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VibrantCare Rehabilitation",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "VibrantCare Rehabilitation",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.