Provider Demographics
NPI:1922620822
Name:TODDLER TOWN REHAB, LLC
Entity Type:Organization
Organization Name:TODDLER TOWN REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:HOMERO
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-648-6962
Mailing Address - Street 1:3013 TERESA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1825
Mailing Address - Country:US
Mailing Address - Phone:956-648-6962
Mailing Address - Fax:
Practice Address - Street 1:5219 S MCCOLL RD STE D
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3168
Practice Address - Country:US
Practice Address - Phone:956-648-6962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty