Active NPI
Creative Motion, Inc
- Physical Therapist
- Longview, TX
National Provider Identifier
1104155944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1110948
- Legal business name
- CREATIVE MOTION, INC
- Practice address
- 5907 W. Marshall Ave
Longview, TX 75604 - Phone
- (903) 759-6500
- Fax
- (903) 759-6500
- NPI assigned
- Dec 7, 2009
- Last updated
- Jul 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wanda Bell, PT
- Title
- Owner
- Phone
- (903) 759-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1110948 | TX | |
| Physical Therapist | 225100000X | 1110948 | TX | Primary |
| Occupational Therapist | 225X00000X | 105205 | TX |
Addresses
Primary practice location
5907 W. Marshall Ave
Longview, TX 75604
Mailing address
5907 W. Marshall Ave
Longview, TX 75604
Phone (903) 759-6500
Other names 1
- Creative Motion Pediatric Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Longview, TX
- NPI 1710007133
-
- Physical Therapist
- Longview, TX
- NPI 1982907846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278720000000",
"number": "1104155944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5907 W. MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75604",
"telephone_number": "903-759-6500",
"fax_number": "903-759-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5907 W. MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75604",
"telephone_number": "903-759-6500",
"fax_number": "903-759-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE MOTION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2010-07-10",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-759-6500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "1110948",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1110948",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creative Motion Pediatric Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Longview, TX
- Craig Furniture and Appliances Inc (Manlys Furniture and Appliances)
- Angela Dawn Craver, H.I.S.
- Grace Florence Crawford, PTA
- Amy Berlynne Creamer, MA, NCC, LPC
- Creative Motion Pediatric Therapy
- Crestcare Nursing & Rehabilitation Center (Eden Specialty Care)
- CRH of Longview LLC (Longview Rehabilitation Hospital)
- Hannah Crisp, OT
- Christina Lea Croley, FNP-C
- Crosby Community Home Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.