Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Rehabilitation Services, LLC

Organization Pediatric Physical Therapist · NPI 1811087166

Providence Rehabilitation Services, LLC is a Pediatric Physical Therapist in Mission, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1609 E Griffin Pkwy Ste B
Mission, TX 78572-3101
Phone: (956) 424-1089
Fax: (956) 424-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 657030000 (TX)
Rehabilitation Clinic/Center Taxonomy 261QR0400X · Licence 657030000 (TX)

Record details

NPI number1811087166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruby Bocanegra — President · (956) 424-1089
Other names Providence Rehabilitation Services
NPI enumeratedOctober 14, 2006
Last updated in NPPESAugust 2, 2007
Mailing address1609 E Griffin Pkwy, Suite B, Mission, TX 78572-3101

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