BRADWELL DIVERSIFIED (NPI# 1154767911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154767911 |
Entity Type | Organization |
Organization Name | BRADWELL DIVERSIFIED |
Other Organization Name | KIDS CLUB PEDIATRIC REHAB |
Practice Address |
27043 Baker Potts Rd Harlingen TX 78552-3761 |
Practice Telephone | 9567924542 |
Mailing Telephone | 9567924542 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-07-16 |
Authorized Official Name | MRS. GRACIELA A BRADWELL (ADMINISTRATOR) |
Authorized Official Telephone | 9567924542 |
Authorized Official Credential | SLP ASSISTANT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Kids Club Pediatric Rehab | Doing Business As Name - Organization |
Street Address |
27043 BAKER POTTS RD |
City | HARLINGEN |
State | TX |
Zip Code | 78552-3761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912284753 | Cynthia P Wyche | Specialist/Technologist | 27043 Baker Potts Rd, Harlingen, TX 78552-3761 | 2011-11-08 |
1427326404 | Graciela Bradwell | Specialist/Technologist | 27043 Baker Potts Rd, Harlingen, TX 78552-3761 | 2011-12-06 |
1538446026 | Nicholas Blaschke | Specialist/Technologist | 27043 Baker Potts Rd, Harlingen, TX 78552-3761 | 2011-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770030207 | Zifa Guerrero | Counselor | 5404 Guava Dr., Harlingen, TX 78552 | 2016-09-01 |
1801294483 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2709 W Expy 83, Ste 140, Harlingen, TX 78552 | 2014-12-12 |
1093060980 | Lanning Blish | Technician/Technologist | 2000 S. Expressway Suite F03, Harlingen, TX 78552 | 2012-07-17 |
1457658114 | Leslie Castillo | Occupational Therapist | 24139 Brownstone Cr East, Harlingen, TX 78552 | 2011-02-16 |
1477785962 | Cima Hospice of The Valley East Lp | Hospice Care, Community Based | 2404 S Expressway 83, Suite A, Harlingen, TX 78552 | 2009-08-17 |
1215194857 | Best Home Health Care, Incorporated | Home Health | 8002 W. Expway 83, Suite B, Harlingen, TX 78552 | 2008-05-21 |
1841357290 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2002 S Expy 83, Valley Vista Mall, Harlingen, TX 78552 | 2007-01-03 |
1487745618 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 2020 South Expressway, Suite 83, Harlingen, TX 78552 | 2006-09-26 |
1013017847 | Marianne Sparrow | Counselor | 5302 Guava Dr, Harlingen, TX 78552 | 2006-09-22 |
1427062215 | Ralph Nieto | Physiological Laboratory | 17745 Us Expressway 83, Harlingen, TX 78552 | 2006-07-28 |
Find all providers in zip 78552 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306366190 | Performance Therapeutics Harlingen Pllc | Clinic/Center | 310 N Ed Carey Dr Ste B, Harlingen, TX 78550-7985 | 2017-06-22 |
1568853166 | Care Continuum Consultants, LLC | Clinic/Center | 2211 S 77 Sunshinestrip, Harlingen, TX 78550-8314 | 2015-02-18 |
1043470461 | Jumpstart Rehabilitation Services | Clinic/Center | 28753 Mclelland Rd, Harlingen, TX 78552-2226 | 2008-06-10 |
1700916004 | Mercy Rehab Services, Inc. | Clinic/Center | 2117 East Tyler, Suite B, Harlingen, TX 78550 | 2007-03-06 |
1124060868 | Therapy To Go, Inc. | Clinic/Center | 1350 N Ed Carey Dr, Harlingen, TX 78550-8201 | 2006-06-10 |
1447611884 | Tri-county Kids Care, LLC | Clinic/Center | 613 W Sesame Dr, Harlingen, TX 78550-7930 | 2016-03-13 |
1548648637 | Alegria Pediatric Rehab Center LLC | Clinic/Center | 813 N Ed Carey Dr, Harlingen, TX 78550-7919 | 2015-05-11 |
1578834172 | Saldana Supply Co. LLC | Clinic/Center | 595 W Sesame Dr, Harlingen, TX 78550-7962 | 2012-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
1043827124 | Healthstar Family Rehab Center, LLC | Clinic/Center | 6800 Gateway Blvd E. Bldg 4ab, El Paso, TX 79915-1006 | 2020-09-23 |
1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.