NPI age
19 years
Enumerated 2007-01-22
● Active Type 2 · Organization
Custom Rehab Of South Texas, Inc.
Custom Rehab Of South Texas, Inc. is 1 of 501 durable medical equipment & medical supplies organizations in Texas.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matthiesen
President
Last NPPES update
2011-07-07
Source: monthly bulk 2026-05
How this organization compares
Across 501 active durable medical equipment & medical supplies providers in Texas.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
12907 Highway 36
Needville, TX 77461
Mailing address
Po Box 467
Needville, TX 774610467
Authorized official
Lorena Matthiesen
President
📞 9797937570
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daniel Matthiesen Technician, Other NPI 1154618866
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10023796 | AMERIGROUP PROVIDER # |
| 01 (TX) | 519066 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 010008301 | |
| 05 (TX) | 011390401 |
Practice context
Multi-provider organization. 1 individual provider 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 →
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