WEST PARK REHAB & AQUATIC CENTER (NPI# 1407113525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407113525 |
| Entity Type | Organization |
| Organization Name | WEST PARK REHAB & AQUATIC CENTER |
| Practice Address |
210 W Park Suite 101 Livingston TX 77351-8336 |
| Practice Telephone | 9363278080 |
| Practice Fax Number | 9363278086 |
| Mailing Telephone | 9363278080 |
| Mailing Fax Number | 9363278086 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-07-26 |
| Authorized Official Name | TIMOTHY S SHAW (GENERAL PARTNER) |
| Authorized Official Telephone | 9363288080 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
210 W PARK SUITE 101 |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122252 | Myrel Camitoc Francisco | Physical Therapist | 210 W Park, Suite 101, Livingston, TX 77351-8336 | 2005-05-23 |
| 1700236510 | Richard Titus Cain | Nurse Practitioner | 210 W Park, Suite 104, Livingston, TX 77351-8336 | 2016-06-13 |
| 1033532650 | Steven Thomas Crockett | Physical Therapist | 210 W Park, Ste 101, Livingston, TX 77351-8336 | 2014-02-03 |
| 1578880266 | Sunkavally Pain & Rehabilitation Associates Pa | Pain Medicine | 210 W Park, Suite 109, Livingston, TX 77351-8336 | 2010-04-21 |
| 1407047590 | American Hospice, Inc. | Hospice Care, Community Based | 210 W Park, Suite 107, Livingston, TX 77351-8336 | 2007-08-05 |
| 1275622821 | Srinivas Sunkavally | Pain Medicine | 210 W Park, Ste 109, Livingston, TX 77351 | 2006-10-12 |
| 1073576401 | Hunganh Bui | Family Medicine | 210 W Park, Suite 104, Livingston, TX 77351-8336 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342441 | A Plus Therapy LLC | Clinic/Center | 600 S Livingston Ave Ste 207, Livingston, NJ 07039-5415 | 2019-02-19 |
| 1023433307 | Multi Vision Services LLC | Clinic/Center | 6 Highland Dr, Livingston, NJ 07039-2809 | 2014-02-24 |
| 1093089740 | Granite Sports Medicine | Clinic/Center | 1014 W Park St Ste 4, Livingston, MT 59047-2541 | 2012-02-28 |
| 1497703896 | Evergreen At Livingston, L.L.C. | Clinic/Center | 510 S 14th St, Livingston, MT 59047-3731 | 2006-05-05 |
| 1326048737 | Physical Medicine Center of The Cumberlands | Clinic/Center | 7385 Bradford Hicks Dr, Livingston, TN 38570-2239 | 2005-07-28 |
| 1427507201 | Advanced Physiotherapy, Pllc | Clinic/Center | 4120 Bradford Hicks Dr, Suite A, Livingston, TN 38570-2213 | 2016-09-22 |
| 1982813234 | Rehab Associates, LLC | Clinic/Center | University of West Alabama, Station 14, Livingston, AL 35470-2097 | 2007-05-22 |
| 1831248814 | Physical Therapy House Calls Limited Liability Company | Clinic/Center | 34 Harvest Ln, Livingston, NJ 07039-2757 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on WEST PARK REHAB & AQUATIC CENTER.
| 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.