NORTH TEXAS REHABILITATION CENTER – Rehabilitation Practitioner, NPI 1508095761
Rehabilitation Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NORTH TEXAS REHABILITATION CENTER
1102 Solon Place Way Ste B
Waxahachie, TX 751655038
Phone: (972) 875-7488
Fax: (214) 943-9407
Type: Location
4202 San Pedro Ave
San Antonio, TX 782121864
Phone: (210) 366-0607
Fax: (214) 943-9407
Type: Location
430 S Trade Days Blvd
Canton, TX 751033302
Phone: (903) 567-6106
Fax: (903) 567-5115
Type: Location
1001 12th Ave Ste 146
Fort Worth, TX 761043929
Phone: (817) 377-4011
Fax: (817) 377-9269
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752226656
Phone: (214) 943-9431
Fax: (214) 943-9407
Type: Mailing
214, West Colorado Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75211, United States
DALLAS, TX 752082326
Phone: (214) 941-4550
Fax: (214) 943-9407
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111020000456 | O | Clinic/Group Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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 75165)
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