Organization Active NPI

Kids Round Up Pediatric Rehab LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Harlingen, TX
National Provider Identifier
1992820310
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
KIDS ROUND UP PEDIATRIC REHAB LLC
Practice address
1821 S Sesame SQ Ste 1
Harlingen, TX 78550-7941
Phone
(956) 361-5437
Fax
(956) 361-5440
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Mr. Mario Javier Martinez
Title
Owner-Comptroller
Phone
(956) 361-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1821 S Sesame SQ Ste 1
Harlingen, TX 78550-7941

Mailing address

1821 S Sesame SQ Ste 1
Harlingen, TX 78550-7941
Phone (956) 361-5437

Other identifiers 1

IdentifierTypeStateIssuer
178224501MedicaidTX

National Provider Directory

National Provider Directory

Locations

600 Springmart Blvd
Ste 5
Brownsville, TX 78526
Phone (956) 350-0048

600 Springmart Blvd
Ste 7
Brownsville, TX 78526
Phone (956) 361-5437

1821 S Sesame Sq
Ste 1
Harlingen, TX 78550
Phone (956) 361-5437

2550 W Expressway 83
San Benito, TX 78586
Phone (956) 361-5437

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1992820310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ STE 1",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507941",
            "telephone_number": "956-361-5437",
            "fax_number": "956-361-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ STE 1",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507941",
            "telephone_number": "956-361-5437",
            "fax_number": "956-361-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ROUND UP PEDIATRIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER-COMPTROLLER",
        "authorized_official_telephone_number": "956-361-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178224501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.