Organization Active NPI

Zapata Rehabilitation Center, PC

  • Physical Therapist
  • Zapata, TX
National Provider Identifier
1992813513
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1114338 Issued in TX
Legal business name
ZAPATA REHABILITATION CENTER, PC
Practice address
2113 N US Highway 83
Zapata, TX 78076-3588
Phone
(956) 765-1277
Fax
(956) 765-5339
NPI assigned
Aug 25, 2006
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mrs. Lori Sue Garcia
Title
Office Manager
Phone
(956) 765-1277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1114338 TX Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 105936 TX

Addresses

Primary practice location

2113 N US Highway 83
Zapata, TX 78076-3588

Mailing address

PO Box 14892
Zapata, TX 78076-4892
Phone (956) 765-1277

Other identifiers 2

IdentifierTypeStateIssuer
0039LJOtherTXBCBS PROVIDER NUMBER
168350001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520001372 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385635044 Receives reassigned benefits from 4 practitioners
Practice locations: Zapata, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1992813513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14892",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780764892",
            "telephone_number": "956-765-1277",
            "fax_number": "956-765-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 N US HIGHWAY 83",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763588",
            "telephone_number": "956-765-1277",
            "fax_number": "956-765-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAPATA REHABILITATION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-765-1277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1114338",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0039LJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168350001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zapata, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.