PROVIDENCE REHABILITATION SERVICES
NPI 1811087166
Physical Therapist - Pediatrics in Mission, TX

Active since October 14, 2006
1609 E GRIFFIN PKWY, SUITE B, MISSION, TX 78572(956) 424-1089(956) 424-1090 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Rehabilitation Services NPPES

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

PROVIDENCE REHABILITATION SERVICES (NPI 1811087166) is a healthcare organization registered as a pediatrics in Mission, Texas and active in the NPI registry since October 2006. The organization lists Ruby Bocanegra, President, as its authorized official.

NPPES Registry Identity

NPI1811087166
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NamePROVIDENCE REHABILITATION SERVICES, LLC
Location Address1609 E GRIFFIN PKWY, SUITE BMission, TX 78572-3101
Mailing Address1609 E Griffin Pkwy, Suite BMission, TX 78572-3101 · (956) 424-1089 · Fax (956) 424-1090
Fax(956) 424-1090
Organization SubpartNo
Authorized OfficialRuby BocanegraPresident · (956) 424-1089
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 2, 2007
NPI 1811087166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 657030000 (TX)
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 657030000 (TX)
1609 E GRIFFIN PKWY, Mission, TX 78572

Other Names 1

Other NameProvidence Rehabilitation Services

Other Identifiers 2

Other657030000TX · Tx Board Of Phys Therapy
Other554300000TX · Tx Board Of Occu Therapy

Other Providers at the Same Location NPPES

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

Pediatrics
1609 E GRIFFIN PKWY, STE B
MISSION, TX 78572

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 Providence Rehabilitation Services, LLC's NPI number?

The NPI number for Providence Rehabilitation Services, LLC is 1811087166. It was assigned to this organization in the NPPES registry on October 14, 2006. The provider is also known as Providence Rehabilitation Services.

Where is Providence Rehabilitation Services, LLC located?

Providence Rehabilitation Services, LLC is located at 1609 E Griffin Pkwy Suite B, Mission, TX 78572. The listed phone number is (956) 424-1089.

What is Providence Rehabilitation Services, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Providence Rehabilitation Services, LLC was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.