Organization
ELSA THERAPY & WELLNESS CENTER, INC.
Active
Other names
Jump Start Therapy & Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA FLORES OTR (CLINICAL DIRECTOR)
(956) 461-2309
Entity
Organization
Contact information
Practice address
908 W. EDINBURG AVE, SUITE B, ELSA, TX 78543
(956) 262-1037
(956) 262-7756
Mailing address
PO BOX 1769, ELSA, TX 78543
(956) 262-1037
(956) 262-7756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
37129
TX
224Z00000X
Occupational Therapy Assistant
208752
TX
225100000X
Physical Therapist
1131290
TX
225200000X
Physical Therapy Assistant
2064523
TX
225X00000X
Occupational Therapist
110383
TX
225X00000X
Occupational Therapist
112802
TX
2355S0801X
Speech-Language Assistant
11512
TX
2355S0801X
Speech-Language Assistant
12390
TX
2355S0801X
Speech-Language Assistant
34009
TX
2355S0801X
Speech-Language Assistant
34195
TX
2355S0801X
Speech-Language Assistant
34739
TX
235Z00000X
Speech-Language Pathologist
102929
TX
261QM2500X
Medical Specialty Clinic/Center
K8596
TX
261QM2500X
Medical Specialty Clinic/Center
M2376
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009PG
BLUE CROSS & BLUE SHIELD
TX
01
—
141479
SUPERIOR HEALTH PLAN
TX
05
—
1834772-02
—
TX
05
—
1834772-03
—
TX
01
—
555000000
OCCUPATIONAL THERAPY FACI
TX
01
—
660900000
PHYSICAL THERAPY FACILITY
TX
Enumeration date
07/12/2006
Last updated
08/23/2018
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