SPARK REHAB SPECIALIST LLC (NPI# 1831752252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831752252 |
| Entity Type | Organization |
| Organization Name | SPARK REHAB SPECIALIST LLC |
| Practice Address |
6025 Tapestry Dr Corpus Christi TX 78414-6334 |
| Practice Telephone | 3613894285 |
| Mailing Telephone | 3613894285 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | MR. BRIAN VERGARA CORNEJO (OWNER) |
| Authorized Official Telephone | 3613894285 |
| Authorized Official Credential | PT,DPT |
| 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 |
6025 TAPESTRY DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699923 | Jessica Marie Drewa | Occupational Therapist | 6025 Tapestry Dr, Corpus Christi, TX 78414-6334 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| 1851917801 | Fyzical Corpus Christi LLC | Clinic/Center | 3201 Airline Rd Ste E, Corpus Christi, TX 78414-3571 | 2020-06-24 |
| 1912349416 | Cowboy Home Health, Pllc | Clinic/Center | 14501 Compass St, Suite 117, Corpus Christi, TX 78418-6183 | 2013-07-24 |
| 1861526105 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2209 North Padre Island Drive, Suite M, Corpus Christi, TX 78408 | 2007-03-16 |
| 1396220042 | True Care Physical Therapy Pllc | Clinic/Center | 2222 Airline Rd Ste A9, Corpus Christi, TX 78414-2644 | 2018-09-28 |
| 1164813937 | Avila Physical Therapy | Clinic/Center | 2033 Airline Rd, Suite E-7, Corpus Christi, TX 78412-4626 | 2015-02-13 |
| 1972916054 | Orthopedic Pt Centers LLC | Clinic/Center | 5718 Spohn Dr, Suite 200, Corpus Christi, TX 78414-4235 | 2014-06-06 |
| 1316295678 | Corpus Christi Physical Therapy and Sports Medicine Center LLC | Clinic/Center | 5959 S Staples St, Suite 105, Corpus Christi, TX 78413-3846 | 2012-08-16 |
| 1225305709 | Witold Drozdowski, LLC | Clinic/Center | 701 Park Ave, Corpus Christi, TX 78401-3420 | 2011-11-28 |
| 1356660369 | South Texas Sports Medicine Inc | Clinic/Center | 5530 Lipes Blvd, Corpus Christi, TX 78413-5511 | 2010-06-01 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
Please comment or provide details below to improve the information on SPARK REHAB SPECIALIST LLC.
| 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.