Organization Active NPI

Little Elm Physical Rehab Center, LLC.

  • Physical Therapist
  • Little Elm, TX
National Provider Identifier
1013554849
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LITTLE ELM PHYSICAL REHAB CENTER, LLC.
Practice address
1395 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5508
Phone
(972) 987-4672
Fax
(972) 987-4693
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Joshua W Longworth
Title
Authorized Official
Phone
(972) 987-4672

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1395 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5508

Mailing address

1395 E Eldorado Pkwy Ste 200
Suite # 200
Little Elm, TX 75068-5508
Phone (972) 987-4672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303000134 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082030408 Receives reassigned benefits from 4 practitioners
Practice locations: Little Elm, TX

National Provider Directory

National Provider Directory

Locations

1395 E Eldorado Pkwy
Ste 200
Little Elm, TX 75068
Phone (972) 987-4672

4601 Old Shepard Pl
Bldg 4404
Plano, TX 75093
Phone (561) 729-9302

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1013554849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 200",
            "address_2": "SUITE # 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "972-987-4672",
            "fax_number": "972-987-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "972-987-4672",
            "fax_number": "972-987-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ELM PHYSICAL REHAB CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "LONGWORTH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-987-4672"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.