Provider Demographics
NPI:1770754558
Name:CORE REHABILITATION GROUP
Entity type:Organization
Organization Name:CORE REHABILITATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:BIORN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:817-868-7575
Mailing Address - Street 1:2700 TIBBETS DR STE 103
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5928
Mailing Address - Country:US
Mailing Address - Phone:817-868-7575
Mailing Address - Fax:817-868-7577
Practice Address - Street 1:2700 TIBBETS DR STE 103
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5928
Practice Address - Country:US
Practice Address - Phone:817-868-7575
Practice Address - Fax:817-868-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy