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Custom Rehab of South Texas, Inc.

Customized Equipment (DME) in Needville, TX · enumerated 2007 · authorized official Lorena Matthiesen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700930633

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Rehab of South Texas, Inc.
Practice address 12907 Highway 36, Needville, TX, 77461
Phone (979) 793-7570
Fax (979) 793-5540
Enumeration date Jan 22, 2007
Last updated in NPPES Jul 7, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BC3200X Customized Equipment (DME) Suppliers Primary

Authorized official

Name Lorena Matthiesen
Title President
Phone (979) 793-7570

Other identifiers

Identifier Type State Issuer
10023796 Other TX AMERIGROUP PROVIDER #
519066 Other TX BLUE CROSS BLUE SHIELD
010008301 Medicaid TX -
011390401 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Custom Rehab of South Texas, Inc.?
NPPES lists Lorena Matthiesen (President) as the authorized official for this organization.
What is the NPI number for Custom Rehab of South Texas, Inc.?
The NPI for Custom Rehab of South Texas, Inc. is 1700930633, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-07.