NEURO REHAB ASSOCIATES PA – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1376739805

NEURO REHAB ASSOCIATES PA is a healthcare provider. based in Southlake, Texas. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. The organization holds a License No. E5103 (TX). The NPI Number for NEURO REHAB ASSOCIATES PA is 1376739805

Main info

Organization
Name
NEURO REHAB ASSOCIATES PA
NPI
1376739805
Phone
(817) 421-9111
Address
PO BOX 92248
Authorized Official
TINA DAVIDOVICH DIRECTOR
Enumeration Date
18 September 2007
Last Update Date
18 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for NEURO REHAB ASSOCIATES PA

  • PO BOX 92248

    SOUTHLAKE, TX 760920103

    Phone: (817) 421-9111

    Fax: (817) 421-9222

    Type: Mailing

  • 680, North Carroll Avenue, Southlake, Tarrant County, Texas, 76092, United States

    SUITE 120

    SOUTHLAKE, TX 760926467

    Phone: (817) 421-9111

    Fax: (817) 421-9222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76092)

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Frequently asked questions

How is NEURO REHAB ASSOCIATES PA identified in CMS data?
CMS-hosted NPPES data lists NEURO REHAB ASSOCIATES PA with NPI 1376739805.
Does the file indicate NEURO REHAB ASSOCIATES PA is practicing under active NPI?
Directory data currently reports NEURO REHAB ASSOCIATES PA as active.
What is NEURO REHAB ASSOCIATES PA's primary classification?
Pain Medicine (Physical Medicine & Rehabilitation) Physician is the headline specialty for NEURO REHAB ASSOCIATES PA here. Clinical services aligned with this taxonomy classification.
What area does NEURO REHAB ASSOCIATES PA serve?
NEURO REHAB ASSOCIATES PA's listing highlights Southlake, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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