1336190289 NPI number — INPATIENT REHABILITATION SPECIALISTS, P.A.

Table of content: (NPI 1336190289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336190289 NPI number — INPATIENT REHABILITATION SPECIALISTS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INPATIENT REHABILITATION SPECIALISTS, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336190289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 720999
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75372-0999
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-908-3215
Provider Business Mailing Address Fax Number:
214-853-5543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 E CAMPBELL RD STE 350
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75081-1889
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-908-3215
Provider Business Practice Location Address Fax Number:
214-853-5543
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ADAMS
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
214-566-7766

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 161160001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com