THOMAS REBOLD (NPI# 1508481136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508481136 |
| Entity Type | Individual |
| Full Name | THOMAS REBOLD |
| Practice Address |
1123 Long Hollow Dr Canyon Lake TX 78133-2376 |
| Practice Telephone | 5124361818 |
| Mailing Telephone | 5124361818 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
1278389 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1123 LONG HOLLOW DR |
| City | CANYON LAKE |
| State | TX |
| Zip Code | 78133-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309571 | Amanda Mills | Registered Nurse | 1811 Montview, Canyon Lake, TX 78133 | 2020-09-01 |
| 1104301902 | Jannah Holley Vise | Acupuncturist | 190 Crazy Horse Trail, Canyon Lake, TX 78133 | 2018-09-27 |
| 1023480555 | Brookshire Brothers Inc | Pharmacy | 18275 Fm 306, Canyon Lake, TX 78133 | 2015-10-23 |
| 1154440873 | Jose P. Morin | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2007-03-28 |
| 1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
| 1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
| 1225348048 | Hill Country Surgical Assistants | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2010-10-14 |
| 1376554253 | Don Coleman | Rehabilitation Practitioner | 111 Toye Blvd, Canyon Lake, TX 78133 | 2006-08-10 |
| 1063943041 | Windmill Wellness Ranch LLC | Substance Abuse Rehabilitation Facility | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2017-03-22 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| Find all providers in zip 78133 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168045 | John Kurt Keplinger | Physical Therapist | 2905 Yaupon Pl, Amarillo, TX 79124-4959 | 2020-09-10 |
| 1972118800 | Brittney Boggs | Physical Therapist | 4511 Meadow Hawk Dr, Arlington, TX 76005-1259 | 2020-09-08 |
| 1184238446 | Rebekah Quarles | Physical Therapist | 113 Stonegate N, Boerne, TX 78006-3402 | 2020-09-03 |
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1922622109 | Shawntel Chamberland | Physical Therapist | 313 Windjammer Rd, Gun Barrel City, TX 75156-5726 | 2020-06-03 |
| 1780216168 | Christine M Taylor | Physical Therapist | 3902 Constitution Dr, Lago Vista, TX 78645-7903 | 2020-02-04 |
| 1952945347 | Cyndy Trueblood | Physical Therapist | 10029 Clemente Cir, Austin, TX 78737-1029 | 2019-10-29 |
| 1871051482 | Lucas Zackery Love | Physical Therapist | 15814 Tampke Pl, San Antonio, TX 78247-5914 | 2019-03-04 |
| 1902363328 | Ma. Ester Nightingale | Physical Therapist | 18011 Oakwind Ct, Richmond, TX 77407-8531 | 2019-02-21 |
| 1629534953 | Richard Salazar Jr. | Physical Therapist | 6617 Cresta Bonita Dr, El Paso, TX 79912-2413 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 78133 |
Please comment or provide details below to improve the information on THOMAS REBOLD.
| 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.