WEST TEXAS REHABILITATION CENTER (NPI# 1417086521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417086521 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS REHABILITATION CENTER |
| Practice Address |
3001 S Jackson St San Angelo TX 76904-5129 |
| Mailing Address |
4601 Hartford St Abilene TX 79605-4603 |
| Practice Telephone | 3252236300 |
| Mailing Telephone | 3257933400 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | TIM CHILDS (VP OF FINANCE) |
| Authorized Official Telephone | 3257933400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332S00000X | Hearing Aid Equipment | Suppliers | ||
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487787529 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 4545 Hartford St, Abilene, TX 79605-4602 | 2007-03-14 |
| 1861521791 | West Texas Rehabilitation Center | Clinic/Center | 908 First St, Ozona, TX 76943-0728 | 2007-03-05 |
| 1487783312 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 1724 Sunset Dr, San Angelo, TX 76904-7104 | 2007-03-05 |
| 1962769018 | West Texas Rehabilitation Center | Clinic/Center | 4601 Hartford Street, Abilene, TX 79605 | 2012-04-13 |
| 1457566259 | West Texas Rehabilitation Center | Clinic/Center | 4601 Hartford St, Abilene, TX 79605-4603 | 2007-05-14 |
| 1831304633 | West Texas Rehabilitation Center | Audiologist-Hearing Aid Fitter | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2007-05-14 |
| 1518091438 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2007-03-15 |
| 1770612608 | West Texas Rehabilitation Center | Hospice, Inpatient | 4601 Hartford St, Abilene, TX 79605-4603 | 2007-03-05 |
| 1689703514 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 4601 Hartford St, Abilene, TX 79605-4603 | 2007-03-05 |
| 1699804732 | West Texas Rehabilitation Center | Clinic/Center | 2074 Antilley Rd, Suite 100, Abilene, TX 79606-5209 | 2007-03-05 |
| Street Address |
3001 S JACKSON ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316920200 | Gina Karr | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2005-11-23 |
| 1083246755 | Brady Burks | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2020-02-10 |
| 1922641497 | Laura A Sykora | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-10-28 |
| 1477100923 | J Concepcion Trejo Godoy | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-08-20 |
| 1184279143 | Michael J Wicks | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-08-07 |
| 1083267140 | Madeleine Harmon | Speech-Language Pathologist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-07-18 |
| 1124688585 | Jacob Burtch | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-06-18 |
| 1760049175 | Cevan C Smithson | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-05-21 |
| 1447816228 | Tamara A Calcote | Occupational Therapy Assistant | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-05-16 |
| 1801452966 | Ngozi Oby Agwuenu | Occupational Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 | SAN ANGELO |
| Zip Code | 76904 |
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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.