Joanna Renee Endsley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1145860 Issued in TX

Practice address

3202 4TH St
Longview, TX 75605-5143

Phone

(903) 753-6635

Fax

(903) 753-1114

NPI assigned

Oct 12, 2005

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Rabbit Resources

  dba Elite Physical Therapy

  • Physical Therapist
  • Longview, TX
  • NPI 1366296162
  Medicare reassignment NPD Authorized official
• Pain Managment Joint Venture LLP

  dba Centre Of Rehabilitation Excellence

  • Physical Therapist
  • Longview, TX
  • NPI 1871540971
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1114915188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130214",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130214",
            "telephone_number": "903-245-7701",
            "fax_number": "903-561-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Troup Hwy",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757032300",
            "country_code": "US",
            "telephone_number": "903-245-7701",
            "fax_number": "903-561-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDSLEY",
        "first_name": "JOANNA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeanyi Emmanuel Elueze, MD PHD
• Aubren Martin Emberton, PHARMD
• Emmanuel Behavioral Health & Wellness PLLC
• Emmanuel Residential Services
• Encompass Mobile Wound Care and Wellness, PLLC
• Michelle Engdayehu, RN FNP
• Baylie Michele English
• Casey Renee English, APRN-CNP
• Kristen Hibbs Erickstad, MD
• Landon Taylor Erickstad, MD

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.