NPI age
13 years
Enumerated 2012-12-14
● Active Type 2 · Organization
South Park Care & Rehab Llc
South Park Care & Rehab Llc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Quick
Controller
Last NPPES update
2012-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2450 E 5th St
Tyler, TX 757013525
Mailing address
5519 S Collins St
Arlington, TX 760181705
Authorized official
Jason Quick
Controller
📞 8175572221
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Tiffany Goodwyn, PTA Physical Therapy Assistant NPI 1598246241
- Mary Grace Mendoza, PTA Physical Therapy Assistant NPI 1497237721
- Rebecca Robinson, LPTA Physical Therapy Assistant NPI 1902388465
- Heather Smith, COTA Occupational Therapy Assistant NPI 1215419387
- Carolyn Vieau Occupational Therapy Assistant NPI 1477035939
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 5390 |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.