Organization Active NPI

Lone Star Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Dallas, TX
National Provider Identifier
1114212065
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.