MEDICARE: THERATEAM REHAB, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	104978	TX

General Provider Information

NPI Number	:	1790811297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERATEAM REHAB, LLC

Provider Business Mailing Address
First Line	:	909 HEMLOCK TRL
Second Line	:
City	:	SAGINAW
State	:	TX
Zip	:	76131-3551
Country	:	US
Telephone Number	:	817-455-1614
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 HEMLOCK TRL
Second Line	:
City	:	SAGINAW
State	:	TX
Zip	:	76131-3551
Country	:	US
Telephone Number	:	817-455-1614
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MARY M HOLSTEIN
Credential	:	L.O.T.
Telephone Number	:	817-455-1614

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1477608461 — MARY M HOLSTEIN LOT
Practice Location Address:

909 HEMLOCK TRL
SAGINAW, TX
76131-3551

Practice Phone: 817-847-8412
Practice Fax:

1669647368 — KATHLEEN MARY URENDA PTA
Practice Location Address:

909 HEMLOCK TRL
SAGINAW, TX
76131-3551

Practice Phone: 817-656-1220
Practice Fax: 817-656-1220

1255506853 — DEBORAH ASHLEY LOTA
Practice Location Address:

909 HEMLOCK TRL
SAGINAW, TX
76131-3551

Practice Phone: 817-455-1614
Practice Fax: 817-656-1220

1285809889 — DOUGLAS KEITH ALLEN PT
Practice Location Address:

909 HEMLOCK TRL
FORT WORTH, TX
76131-3551

Practice Phone: 817-455-1614
Practice Fax: 817-656-1220

1194366906 — MARTYNA PONCE
Practice Location Address:

1640 BASSWOOD BLVD
SAGINAW, TX
76131-4967

Practice Phone: 817-502-6339
Practice Fax: 817-204-1045

1235066135 — NAOMI ROSADO
Practice Location Address:

1551 BELTMILL PKWY UNIT 8009
SAGINAW, TX
76131-3111

Practice Phone: 787-361-2774
Practice Fax:

Directions to “THERATEAM REHAB, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.