Provider Demographics
NPI:1619933108
Name:STRIDE LLC
Entity Type:Organization
Organization Name:STRIDE LLC
Other - Org Name:STEP N STRIDE REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADM
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-787-6600
Mailing Address - Street 1:805 N CAGE BLVD
Mailing Address - Street 2:STE IJ
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-3102
Mailing Address - Country:US
Mailing Address - Phone:956-787-6600
Mailing Address - Fax:956-787-1753
Practice Address - Street 1:805 N CAGE BLVD
Practice Address - Street 2:STE IJ
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-3102
Practice Address - Country:US
Practice Address - Phone:956-787-6600
Practice Address - Fax:956-787-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX261QP2000X, 261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158787501Medicaid
TX158787501Medicaid