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Providence Rehabilitation Services, LLC

Pediatric Physical Therapist in Mission, TX · enumerated 2006 · authorized official Ruby Bocanegra, President.

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

National Provider Identifier

1811087166

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Rehabilitation Services, LLC
Other name <Unavail>
Practice address 1609 E Griffin Pkwy, Suite B, Mission, TX, 78572
Phone (956) 424-1089
Fax (956) 424-1090
Enumeration date Oct 14, 2006
Last updated in NPPES Aug 2, 2007

Taxonomy & classification

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 657030000 (TX) Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 657030000 (TX) Secondary

Authorized official

Name Ruby Bocanegra
Title President
Phone (956) 424-1089

Other identifiers

Identifier Type State Issuer
554300000 Other TX TX BOARD OF OCCU THERAPY
657030000 Other TX TX BOARD OF PHYS THERAPY

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Providence Rehabilitation Services, LLC?
Providence Rehabilitation Services, LLC is registered in NPPES as a Pediatric Physical Therapist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-02.