Provider Demographics
NPI:1124260708
Name:UPRIGHT THERAPY CENTER, LLC
Entity type:Organization
Organization Name:UPRIGHT THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:V
Authorized Official - Last Name:SAN PEDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-533-8703
Mailing Address - Street 1:1421 N 2ND ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2303
Mailing Address - Country:US
Mailing Address - Phone:956-972-1747
Mailing Address - Fax:956-972-1813
Practice Address - Street 1:1421 N 2ND ST
Practice Address - Street 2:SUITE E
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2303
Practice Address - Country:US
Practice Address - Phone:956-972-1747
Practice Address - Fax:956-972-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX665190000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206523701Medicaid