REHAB SOURCE, INC (NPI# 1720104482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720104482 |
Entity Type | Organization |
Organization Name | REHAB SOURCE, INC |
Other Organization Name | REHAB SOURCE |
Practice Address |
6913 Indiana Ave Lubbock TX 79413-6111 |
Mailing Address |
6913 Indiana Ave Lubbock TX 79413 |
Practice Telephone | 8066872788 |
Practice Fax Number | 8066872791 |
Mailing Telephone | 8066872788 |
Mailing Fax Number | 8066872791 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARK STEPHEN CAFFEY (PRESIDENT REHAB SOURCE, INC) |
Authorized Official Telephone | 8066872788 |
Authorized Official Credential | P.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Rehab Source | Doing Business As Name - Organization |
Street Address |
6913 INDIANA AVE |
City | LUBBOCK |
State | TX |
Zip Code | 79413-6111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093706012 | Mark Stephen Caffey | Specialist | 6913 Indiana Ave, Lubbock, TX 79413-6111 | 2005-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
Find all providers in zip 79413 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
1467576793 | Csk Medical Partners | Clinic/Center | 6206 Norwich Ave, Lubbock, TX 79424-1288 | 2007-03-19 |
1831257393 | Bodyworks Pt, LLC | Clinic/Center | 5921 34th St, Lubbock, TX 79407-3207 | 2006-12-05 |
1619905213 | Physical Resources, LLC | Clinic/Center | 2318 50th St, Lubbock, TX 79412-2502 | 2006-06-30 |
1326166042 | Mccombs and Associates Physical Therapy, Inc. | Clinic/Center | 5217 82nd St, Suite 104, Lubbock, TX 79424-2827 | 2007-03-27 |
1730242793 | Cornerstone Physical Medicine & Rehabilitation, PC | Clinic/Center | 4010 82nd St, Suite 130, Lubbock, TX 79423-1949 | 2006-12-19 |
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 |
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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.