{"npi":"1669475885","type":"NPI-2","status":"active","name":{"display":"North Texas Rehabilitation Center, Inc.","other":[],"organization_name":"NORTH TEXAS REHABILITATION CENTER, INC.","authorised_official":"Sandra Ross"},"specialty":{"primary_taxonomy":"261QR0400X","primary_taxonomy_description":"Rehabilitation Clinic/Center","slug":"rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"TX","license":"604700000"},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":false,"state":"TX","license":"102098"},{"code":"225X00000X","description":"Occupational Therapist","primary":false,"state":"TX","license":"508250000"},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"TX","license":"TX62963"},{"code":"261QR0400X","description":"Rehabilitation Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1005 MIDWESTERN PKWY","city":"WICHITA FALLS","state":"TX","postal_code":"763022211","country_code":"US","phone":"9403220771","fax":"9407664943"},{"purpose":"MAILING","street_1":"1005 MIDWESTERN PKWY","city":"WICHITA FALLS","state":"TX","postal_code":"763022211","country_code":"US","phone":"9403220771","fax":"9407664943"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"111408402","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"111408401","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"111408403","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031120000226","type_code":"00-14","type_desc":"PART A PROVIDER - OUTPATIENT PHYSICAL THERAPY/OCCUPATIONAL THERAPY/SPEECH PATHOLOGY SERVICES","state":"TX","pac_id":"4284538463"}]},"enumeration_date":"2005-05-23","last_updated":"2025-09-05","_meta":{"source":"NPPES","snapshot_date":"2025-09-05","doc_url":"https://findmynpi.com/api"}}