Lone Star Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

670770000 Issued in TX

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

Last updated

Jun 17, 2011By 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

Jeana Fulenwider, PT, DPTNPI 1912023110

Title

President

Phone

(214) 884-9695

Specialties & licenses 1

Addresses

Locations

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.

• Jeana Elizabeth Fulenwider, PT, DPT

  • Physical Therapist
  • Dallas, TX
  • NPI 1912023110
  Authorized official Same address or phone
• Gireesh Sharda, MD

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1114928538
  NPD (past)

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": []
}

• 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 Radiology)
• Lone Star Surgical Systems, Inc.
• Lone Star Surgical Systems, Inc. D.M.E. Division
• Lone Star Weight Loss and Wellness, PA

• Physical Therapy Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Clinic/Center in Texas

• 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.

Verify at the official NPI Registry.