Healthcare Provider Details

I. General information

NPI: 1396039962
Provider Name (Legal Business Name): REHABVISIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 06/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E TEXAS BLVD
DALHART TX
79022-4319
US

IV. Provider business mailing address

1506 E 6TH ST
DALHART TX
79022-4704
US

V. Phone/Fax

Practice location:
  • Phone: 806-244-0015
  • Fax: 806-244-0017
Mailing address:
  • Phone: 806-676-7409
  • Fax: 806-244-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4047495
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number4047495
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4047495
License Number StateTX

VIII. Authorized Official

Name: MRS. STEPHANIE FOUST
Title or Position: ADMINISTRATVE SUPERVISOR
Credential: PHYSICAL THERAPIST
Phone: 806-244-0015