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1982385316 NPI number — THERACOVERY LLC

NPI Number: 1982385316
Health Care Provider/Practitioner: THERACOVERY LLC

Information about “1982385316” NPI (THERACOVERY LLC) exists in 1982385316 in HTML format HTML  |  1982385316 in plain Text format TXT  |  1982385316 in PDF (Portable Document Format) PDF  |  1982385316 in an XML format XML  formats.

NPI Number : 1982385316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982385316",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THERACOVERY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2806 VIRGINIA PINE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARLINGEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78550-7803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-706-8428",
    "MailingAddressFaxNumber": "956-300-7277",
    "FirstLinePracticeLocationAddress": "2806 VIRGINIA PINE CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARLINGEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78550-7803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-706-8426",
    "PracticeLocationAddressFaxNumber": "956-300-7277",
    "EnumerationDate": "07/27/2023",
    "LastUpdateDate": "09/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAN",
    "AuthorizedOfficialFirstName": "KIM KELBY",
    "AuthorizedOfficialMiddleName": "KELBY",
    "AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT, DPT",
    "AuthorizedOfficialTelephoneNumber": "407-634-9814",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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