East Texas Therapy Centers, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

EAST TEXAS THERAPY CENTERS, LLC

Doing business as

Southeast Texas Therapy Center

Practice address

5925 Phelan
Suite 1-2
Beaumont, TX 77706

Phone

(409) 866-7147

Fax

(409) 866-7143

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By 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

Ms. Laura L Squiers

Title

Vice President

Phone

(936) 633-6901

Specialties & licenses 1

Addresses

Other names 1

• Southeast Texas Therapy Center Doing business as

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083658306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 PHELAN",
            "address_2": "SUITE 1-2",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-7147",
            "fax_number": "409-866-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 PHELAN",
            "address_2": "SUITE 1-2",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-7147",
            "fax_number": "409-866-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS THERAPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "936-633-6901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Texas Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Butte Indian Health Service Hospital
• Jazmine Eaglin
• Earle S Thornhill, M.D.
• East Texas Pathology, P.a.
• East Texas Surgical Associates, PA
• Mary K East, LPC
• Eastex ER 2 LLC
• Eastex Sleep Solutions Inc
• Eastside Family Chiropractic (Accident & Injury Center)
• Nikole Leigh Eaves, DPT, PT

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.