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NEURO REHAB ASSOCIATES PA
NPI 1376739805
Physical Medicine & Rehabilitation - Pain Medicine in Southlake, TX

Active since September 18, 2007
680 N CARROLL AVE, SUITE 120, SOUTHLAKE, TX 76092(817) 421-9111(817) 421-9222 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neuro Rehab Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURO REHAB ASSOCIATES PA (NPI 1376739805) is a healthcare organization registered as a pain medicine in Southlake, Texas and active in the NPI registry since September 2007. The organization lists Tina Davidovich, Director, as its authorized official.

NPPES Registry Identity

NPI1376739805
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameNEURO REHAB ASSOCIATES PA
Location Address680 N CARROLL AVE, SUITE 120Southlake, TX 76092-6467
Mailing AddressPo Box 92248Southlake, TX 76092-0103 · (817) 421-9111 · Fax (817) 421-9222
Phone(817) 421-9111
Fax(817) 421-9222
Organization SubpartNo
Authorized OfficialTina DavidovichDirector · (817) 421-9111
Enumeration DateSeptember 18, 2007
✔ NPI 1376739805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in TX · E5103
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
680 N CARROLL AVE, Southlake, TX 76092
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEMINI CONCEPTS, INC
Chiropractor
680 N CARROLL AVE, SUITE 120
SOUTHLAKE, TX 76092
Tarrant County (817) 421-9111
GREG W DAVIDOVICH DC
Chiropractor
680 N CARROLL AVE, 120
SOUTHLAKE, TX 76092
Tarrant County (817) 421-9111
MARLA B. HAMPTON PT
Physical Therapist
680 N CARROLL AVE, SUITE 120
SOUTHLAKE, TX 76092
Tarrant County (817) 421-9111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuro Rehab Associates PA's NPI number?

The NPI number for Neuro Rehab Associates PA is 1376739805. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Neuro Rehab Associates PA located?

Neuro Rehab Associates PA is located at 680 N Carroll Ave Suite 120, Southlake, TX 76092. The listed phone number is (817) 421-9111.

What is Neuro Rehab Associates PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Neuro Rehab Associates PA was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.