MRS. JOANNA RENEE ENDSLEY (P.T.) – Physical Therapist, NPI 1114915188

MRS. JOANNA RENEE ENDSLEY (P.T.) is a healthcare provider. based in Longview, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 1145860 (TX). The NPI Number for MRS. JOANNA RENEE ENDSLEY (P.T.) is 1114915188

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JOANNA RENEE ENDSLEY (P.T.)
NPI
1114915188
Phone
(903) 753-6635
Address
3202 4TH ST
Enumeration Date
12 October 2005
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032457701
Graduation Year
2002 (24 years ago)
PAC ID
3577517952
Professional Enrollment ID
I20050309000080
Address ID
TX756026120LO710XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MRS. JOANNA RENEE ENDSLEY (P.T.)

  • West 4th Street, Sunset Hills, Longview, Lee's Summit, Jackson County, Missouri, 64063, United States

    LONGVIEW, TX 756055143

    Phone: (903) 753-6635

    Fax: (903) 753-1114

    Type: Location

  • 4615 Troup Hwy

    Tyler, TX 757032300

    Phone: (903) 245-7701

    Fax: (903) 561-6281

    Type: Location

  • PO BOX 130214

    TYLER, TX 757130214

    Phone: (903) 245-7701

    Fax: (903) 561-6281

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050309000080IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75605)

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Reviews

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Frequently asked questions

Does MRS. JOANNA RENEE ENDSLEY (P.T.) have a public NPI I can cite?
Public records show MRS. JOANNA RENEE ENDSLEY (P.T.) under NPI 1114915188.
Should I treat MRS. JOANNA RENEE ENDSLEY (P.T.) as an active provider?
Patients and plans typically see MRS. JOANNA RENEE ENDSLEY (P.T.) as active in the national extract.
Which specialty label fits MRS. JOANNA RENEE ENDSLEY (P.T.)?
NPPES ties MRS. JOANNA RENEE ENDSLEY (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JOANNA RENEE ENDSLEY (P.T.)?
MRS. JOANNA RENEE ENDSLEY (P.T.) shows a connection to Longview, Texas in registry-derived data.
Why is information missing for MRS. JOANNA RENEE ENDSLEY (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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