Provider Demographics
NPI:1639342017
Name:DELTA REHABILITATION SERVICES, P.C.
Entity Type:Organization
Organization Name:DELTA REHABILITATION SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:281-804-0612
Mailing Address - Street 1:PO BOX 18618
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8618
Mailing Address - Country:US
Mailing Address - Phone:281-804-0612
Mailing Address - Fax:
Practice Address - Street 1:901 3RD ST
Practice Address - Street 2:SUITE 19
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2605
Practice Address - Country:US
Practice Address - Phone:832-431-5623
Practice Address - Fax:866-215-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082881225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1766347 01Medicaid
TX721311OtherALIGN NETWORKS
TX721311OtherEVERCARE MP PROGRAM
TX48KMOtherBCBS GROUP
8F24409OtherMEDICARE INDIVIDUAL PTAN
TXOA6219OtherMEDICARE GROUP PTAN
TX721311OtherUNITED MEDICAL RESOURCES
TX721311OtherUNIVERSAL SMARTCOMP WORKERS' COMPENSATION
TX721311OtherTRICARE
TX721311OtherMEDRISK WORKERS' COMPENSATION
TX721311OtherWORKERS COMPENSATION NETWORK FOR INTEGRATED HEALTH PLAN
TX721311OtherTEXAS STAR-PLUS
TX721311OtherCYPRESSCARE WORKERS COMPENSATION
TX8T1541OtherBCBS INDIVIDUAL
TX721311OtherUNITED HEALTHCARE
TX721311OtherWORKERS COMPENSATION NETWORK FOR HEALTH SYSTEMS INTERNATIONAL
721311OtherWORKERS COMPENSATION NETWORK FOR ROCKPORT HEALTHCARE GROUP
TX721311OtherRESERVE NATIONAL INSURANCE COMPANY
TXOA6219OtherMEDICARE GROUP PTAN
TX721311OtherWORKERS COMPENSATION NETWORK FOR INTEGRATED HEALTH PLAN
TX721311OtherEVERCARE MP PROGRAM