Kathleen Eastwood

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2136518 Issued in TX

Practice address

4005 Lamar Ave
Paris, TX 75462-5212

Phone

(903) 785-3861

Fax

(903) 784-6020

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Clinic of Paris LP

  • Orthopedic Physical Therapist
  • Hugo, OK
  • NPI 1568488179
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1073092011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625212",
            "telephone_number": "903-785-3861",
            "fax_number": "903-784-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625212",
            "telephone_number": "903-785-3861",
            "fax_number": "903-784-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "OK",
            "postal_code": "747434238",
            "country_code": "US",
            "telephone_number": "580-326-0036",
            "fax_number": "580-326-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2855",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2136518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanganyika Lynn Dudley, APRN, AGACNP-BC
• Sara Dunmon
• Jennifer Dawn Durham, LCSW
• John Derek Durham, MD
• Regina Diane Easlon, D.D.S.
• Jennifer Eatherly, MSN, APRN, NP-C
• Peter Julius Edenhoffer, M.D.
• Elj Inc
• Elj Inc
• Katherine H Elliott, P.A.

• Physical Therapy Assistant in Paris, TX
• Providers in Paris, 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 Aug 10, 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.