Active NPI
Lone Star Physical Therapy, P.C.
- Physical Therapy Clinic/Center
- Dallas, TX
National Provider Identifier
1114212065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 670770000
- Legal business name
- LONE STAR PHYSICAL THERAPY, P.C.
- Practice address
- 10300 N Central Expy Ste 171
Dallas, TX 75231-8637 - Phone
- (214) 884-9695
- Fax
- (877) 884-4589
- NPI assigned
- Jun 17, 2011
- 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
- Jeana Fulenwider, PT, DPT
- Title
- President
- Phone
- (214) 884-9695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 670770000 | TX | Primary |
Addresses
Primary practice location
10300 N Central Expy Ste 171
Dallas, TX 75231-8637
Mailing address
10455 N Central Expy # 109-122
Dallas, TX 75231-2213
Phone (214) 884-9695
National Provider Directory
National Provider DirectoryLocations
10300 N Central Expy
Ste 171
Dallas, TX 75231
Phone (214) 884-9695
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1114928538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308268800000",
"number": "1114212065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10455 N CENTRAL EXPY # 109-122",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312213",
"telephone_number": "214-884-9695",
"fax_number": "877-884-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 N CENTRAL EXPY STE 171",
"city": "DALLAS",
"state": "TX",
"postal_code": "752318637",
"telephone_number": "214-884-9695",
"fax_number": "877-884-4589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A",
"authorized_official_last_name": "FULENWIDER",
"authorized_official_first_name": "JEANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-884-9695",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "670770000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Lone Star Dental and Braces Kiest PLLC
- Lone Star Dentistry Clinic PC
- Lone Star DME Inc
- Lone Star Home Health Services LLC
- Lone Star Interoperative Spinal Monitoring, LLC
- Lone Star Primary Care, LLC
- Lone Star Radiology Management LLC
- Lone Star Surgical Systems, Inc.
- Lone Star Surgical Systems, Inc. D.M.E. Division
- Lone Star Weight Loss and Wellness, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.