NPI age
19 years
Enumerated 2006-10-14
● Active Type 2 · Organization
Providence Rehabilitation Services, Llc
Providence Rehabilitation Services, Llc is 1 of 684 physical therapist organizations in Texas.
Primary specialty
Physical Therapist
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bocanegra
President
Last NPPES update
2007-08-02
Source: monthly bulk 2026-05
How this organization compares
Across 684 active physical therapist providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 19% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1609 E Griffin Pkwy, Suite B
Mission, TX 785723101
Mailing address
1609 E Griffin Pkwy, Suite B
Mission, TX 785723101
Authorized official
Ruby Bocanegra
President
📞 9564241089
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 554300000 | TX BOARD OF OCCU THERAPY |
| 01 (TX) | 657030000 | TX BOARD OF PHYS THERAPY |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Providence Rehabilitation Services
Practice context
Single-site organization. Only one practice location on file.
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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.