Provider Demographics
NPI:1669022539
Name:QUICKCARE REHAB, INC.
Entity Type:Organization
Organization Name:QUICKCARE REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:DARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:214-564-1776
Mailing Address - Street 1:1028 REDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6102
Mailing Address - Country:US
Mailing Address - Phone:214-564-1776
Mailing Address - Fax:972-232-2310
Practice Address - Street 1:907 N GOLIAD ST STE 1
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2230
Practice Address - Country:US
Practice Address - Phone:214-564-1776
Practice Address - Fax:972-232-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1110690OtherTEXAS PHYSICAL THERAPY LICENSE