Provider Demographics
NPI:1609002302
Name:REHABILITIES PARTNERS LLC
Entity Type:Organization
Organization Name:REHABILITIES PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:915-595-4500
Mailing Address - Street 1:7230 GATEWAY BLVD E STE F
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1353
Mailing Address - Country:US
Mailing Address - Phone:915-595-4500
Mailing Address - Fax:915-595-4502
Practice Address - Street 1:7230 GATEWAY BLVD E
Practice Address - Street 2:SUITE F
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1352
Practice Address - Country:US
Practice Address - Phone:915-595-4500
Practice Address - Fax:915-595-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111169261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4658OtherMEDICARE PTAN