Provider Demographics
NPI:1952954240
Name:ONE REHAB
Entity Type:Organization
Organization Name:ONE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OTHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSEHETY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-644-1671
Mailing Address - Street 1:1761 INTERNATIONAL PKWY STE 135
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-1864
Mailing Address - Country:US
Mailing Address - Phone:972-845-7875
Mailing Address - Fax:469-458-2096
Practice Address - Street 1:1761 INTERNATIONAL PKWY STE 135
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1864
Practice Address - Country:US
Practice Address - Phone:972-845-7875
Practice Address - Fax:469-458-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty