Chronic Disease Management Centers of Texas

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2127329 Issued in TX

Legal business name

CHRONIC DISEASE MANAGEMENT CENTERS OF TEXAS

Practice address

600 Methodist St Apt 2120
Red Oak, TX 75154-4262

Phone

(469) 552-9911

Fax

(972) 223-7383

NPI assigned

Jan 5, 2018

Last updated

Jan 5, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theressia Lydon Polk

Title

Chief Executive Officer

Phone

(214) 729-8750

Specialties & licenses 10

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1013424514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S HOUSTON SCHOOL RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751463926",
            "telephone_number": "214-729-8750",
            "fax_number": "972-223-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 METHODIST ST APT 2120",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544262",
            "telephone_number": "469-552-9911",
            "fax_number": "972-223-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC DISEASE MANAGEMENT CENTERS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "THERESSIA",
        "authorized_official_middle_name": "LYDON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-729-8750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2127329",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailon Andrea Chambliss, BSN, RN
• Chaska's Outreach Center
• Dennis Weiting Chen
• Charles Adison Chittamai
• Hicum Angelica Chong, DPT
• Lina Cisneros, SLP
• Ozias Clarkson
• Zoe Frances Clement, SLP-ASSISTANT
• Columbia Medical Center of Arlington Subsidiary LP (Medical City ER at Red Oak, a department of Medical City Arlington)
• Comfort Lift Transit

• Physical Therapy Assistant in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.