Organization Active NPI

The Rock Physical Therapy LLC

  • Physical Therapist
  • Paris, TX
National Provider Identifier
1124783311
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE ROCK PHYSICAL THERAPY LLC
Practice address
3360 NE Loop 286 Ste 101
Paris, TX 75460-3438
Phone
(903) 669-3535
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Carrie Hogue Townes, PT
Title
Owner
Phone
(903) 517-4612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3360 NE Loop 286 Ste 101
Paris, TX 75460-3438

Mailing address

3360 NE Loop 286 Ste 101
Paris, TX 75460-3438
Phone (903) 669-3535

Other identifiers 2

IdentifierTypeStateIssuer
1133932OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
870713MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211217000819 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698166155 Receives reassigned benefits from 3 practitioners
Practice locations: Paris, TX

National Provider Directory

National Provider Directory

Locations

70 42nd St NE
Paris, TX 75462
Phone (903) 784-2225

Practitioners & affiliated clinicians

Practitioners 3

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1124783311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 NE LOOP 286 STE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603438",
            "telephone_number": "903-669-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 NE LOOP 286 STE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603438",
            "telephone_number": "903-669-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROCK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "TOWNES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "HOGUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-517-4612",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1133932",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.