CUSTOM REHAB OF SOUTH TEXAS, INC.
NPI 1700930633
Durable Medical Equipment & Medical Supplies - Customized Equipment in Needville, TX

Active since January 22, 2007
12907 HIGHWAY 36, NEEDVILLE, TX 77461(979) 793-7570(979) 793-5540 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Rehab Of South Texas, Inc. NPPES

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

CUSTOM REHAB OF SOUTH TEXAS, INC. (NPI 1700930633) is a healthcare organization registered as a customized equipment in Needville, Texas and active in the NPI registry since January 2007. The organization lists Lorena Matthiesen, President, as its authorized official.

NPPES Registry Identity

NPI1700930633
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCUSTOM REHAB OF SOUTH TEXAS, INC.
Location Address12907 HIGHWAY 36Needville, TX 77461
Mailing AddressPo Box 467Needville, TX 77461-0467 · (979) 793-7570 · Fax (979) 793-5540
Fax(979) 793-5540
Organization SubpartNo
Authorized OfficialLorena MatthiesenPresident · (979) 793-7570
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 7, 2011
NPI 1700930633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

12907 HIGHWAY 36, Needville, TX 77461

Other Identifiers 5

Other519066TX · Blue Cross Blue Shield
Medicaid010008301TX
Medicare NSC0908380001TX
Other10023796TX · Amerigroup Provider #
Medicaid011390401TX

Other Providers at the Same Location NPPES

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

Technician, Other
12907 HIGHWAY 36
NEEDVILLE, TX 77461

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 Custom Rehab Of South Texas, Inc.'s NPI number?

The NPI number for Custom Rehab Of South Texas, Inc. is 1700930633. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Custom Rehab Of South Texas, Inc. located?

Custom Rehab Of South Texas, Inc. is located at 12907 Highway 36, Needville, TX 77461. The listed phone number is (979) 793-7570.

What is Custom Rehab Of South Texas, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Custom Rehab Of South Texas, Inc. was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.