Unknown Individual – Physical Therapist, NPI 1811958358
Physical Therapist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3202 4TH ST STE 101
LONGVIEW, TX 756055143
Phone: (903) 753-6635
Fax: (903) 753-1114
Type: Location
219 N Polk St
Jefferson, TX 756572131
Phone: (903) 665-2600
Fax: (903) 665-2608
Type: Location
908 Bomar St
Marshall, TX 756706108
Phone: (903) 935-3381
Fax: (903) 935-0985
Type: Location
Technology Center, Lost Creek Business Park, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756052697
Phone: (903) 753-6635
Fax: (903) 753-1114
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | TX | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 36 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX |
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