Provider Demographics
NPI:1326202292
Name:NEW HOPE PHYSICAL THERAPY AND REHAB
Entity Type:Organization
Organization Name:NEW HOPE PHYSICAL THERAPY AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:956-447-0615
Mailing Address - Street 1:415 S AIRPORT DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5395
Mailing Address - Country:US
Mailing Address - Phone:956-447-0615
Mailing Address - Fax:956-447-0608
Practice Address - Street 1:415 S AIRPORT DR
Practice Address - Street 2:SUITE C
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5395
Practice Address - Country:US
Practice Address - Phone:956-447-0615
Practice Address - Fax:956-447-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056364225100000X
TX109505225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z591Medicare PIN