Proficient Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

682340000 Issued in TX

Legal business name

PROFICIENT REHABILITATION, LLC

Practice address

1114 Boston Ave
Nederland, TX 77627-4017

Phone

(409) 719-2996

Fax

(409) 420-3134

NPI assigned

Dec 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jason Paul Campbell, PTNPI 1023358934

Title

Physical Therapist/Manager

Phone

(409) 719-2996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Paul Campbell, PT

  • Physical Therapist
  • Nederland, TX
  • NPI 1023358934
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Weeks, PT

  • Physical Therapist
  • Groves, TX
  • NPI 1841996345
  Medicare reassignment Care Compare group NPD
• Dustin Kyle Craver, PT, DPT

  • Physical Therapist
  • Port Arthur, TX
  • NPI 1043621915
  NPD
• Traci Campbell, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Nederland, TX
  • NPI 1720621055
  NPD (past)
• Maria Stamatis Nesbitt, MS, CCC-SLP

  • Speech-Language Pathologist
  • Groves, TX
  • NPI 1245084714
  NPD (past)

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512172800000",
    "number": "1992210751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776270532",
            "telephone_number": "409-719-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BOSTON AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274017",
            "telephone_number": "409-719-2996",
            "fax_number": "409-420-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGER",
        "authorized_official_telephone_number": "409-719-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "682340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreedhar Polavarapu, M.D.
• Pressley Ridge Children and Family Services
• Priority Wound Care LLC
• David Lee Prioux Jr., DC
• PRN Medical Services Inc
• Frederick Elefano Quirante, DPM
• Syed Shafiqur Rehman, MD
• Randall A Rich, LPC
• James Jude Richardelle, LPC
• Richmond Spinal Management LLC

• All providers in Nederland, TX
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.