REAVIS REHAB & WELLNESS CENTER, INC. (NPI# 1265448054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265448054 |
| Entity Type | Organization |
| Organization Name | REAVIS REHAB & WELLNESS CENTER, INC. |
| Other Organization Name | REAVIS REHAB |
| Practice Address |
1201 S Ih 35 Ste 105 Round Rock TX 78664-6615 |
| Practice Telephone | 5123107665 |
| Practice Fax Number | 5123109228 |
| Mailing Telephone | 5123107665 |
| Mailing Fax Number | 5123109228 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | CHARISE BOONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5123107665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
611620000 | TX | Ambulatory Health Care Facilities |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD TX | 0031DG | 01 |
| TX | 094474602 | 05 |
| Other Name | Type Code |
|---|---|
| Reavis Rehab | Doing Business As Name - Organization |
| Street Address |
1201 S IH 35 STE 105 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568916997 | Terri Leaann Wright | Speech-Language Pathologist | 1201 S Ih 35, Ste.105, Round Rock, TX 78664-6615 | 2016-08-15 |
| 1689040255 | Shelly Acree | Physical Therapy Assistant | 1201 S Ih 35, Ste 105, Round Rock, TX 78664-6615 | 2015-08-18 |
| 1962878538 | David Piel | Physical Therapy Assistant | 1201 S Ih 35, Ste 105, Round Rock, TX 78664-6615 | 2015-08-18 |
| 1740689801 | Anna Harpst | Physical Therapist | 1201 S Ih 35, Ste 105, Round Rock, TX 78664-6615 | 2014-08-14 |
| 1912318817 | Rachel Morgan | Speech-Language Pathologist | 1201 S Ih 35, Ste 105, Round Rock, TX 78664-6615 | 2014-05-13 |
| 1124460357 | Jan M Milstead | Occupational Therapist | 1201 S Ih 35, Ste 105, Round Rock, TX 78664-6615 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563515 | Rehabcare Group East, LLC | Clinic/Center | 2851 Joe Dimaggio Blvd, Bldg 6, Unit 12, Round Rock, TX 78665 | 2016-04-20 |
| 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 | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.