Provider Demographics
NPI:1447347687
Name:REHAB UNLIMITED, INC
Entity type:Organization
Organization Name:REHAB UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:I
Authorized Official - Last Name:CARTAGENA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-522-7140
Mailing Address - Street 1:3818 BRANDT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5106
Mailing Address - Country:US
Mailing Address - Phone:713-522-7140
Mailing Address - Fax:713-522-9221
Practice Address - Street 1:3818 BRANDT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5106
Practice Address - Country:US
Practice Address - Phone:713-522-7140
Practice Address - Fax:713-522-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1080836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1503518-01Medicaid
TX0004AWOtherBCBS TX PROVIDER ID
TX1503518-01Medicaid