WEST TEXAS REHABILITATION CENTER (NPI# 1518091438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518091438 |
| 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 | 2007-03-15 |
| Last Update Date | 2008-03-26 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137920803 | 05 |
| 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 |
| 1417086521 | West Texas Rehabilitation Center | Hearing Aid Equipment | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2007-03-05 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356752307 | Shannon Clinic | Prosthetic/Orthotic Supplier | 110 E Twohig Ave, San Angelo, TX 76903-5916 | 2014-05-13 |
| 1285954396 | Shannon Clinic | Prosthetic/Orthotic Supplier | 110 E Twohig Ave, San Angelo, TX 76903-5916 | 2010-06-11 |
| 1811165988 | Lamb's Contact Lenses & Artificial Eyes | Prosthetic/Orthotic Supplier | 515 W Beauregard Ave, San Angelo, TX 76903-6360 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| 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.