Organization Active NPI

Longview Rehab Partners LP

  • Physical Therapy Clinic/Center
  • Longview, TX
National Provider Identifier
1174724587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LONGVIEW REHAB PARTNERS LP
Practice address
100 W Hawkins Pkwy
Longview, TX 75605-1864
Phone
(903) 234-0999
Fax
(903) 862-7421
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brandon Coby Marrow, P.T.NPI 1447283320
Title
Partner
Phone
(903) 593-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

100 W Hawkins Pkwy
Longview, TX 75605-1864

Mailing address

100 W Hawkins Pkwy
Longview, TX 75605-1864
Phone (903) 234-0999

Other names 1

  • Direct Rehab Med Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Direct Rehab Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174724587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HAWKINS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051864",
            "telephone_number": "903-234-0999",
            "fax_number": "903-862-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HAWKINS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051864",
            "telephone_number": "903-234-0999",
            "fax_number": "903-862-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW REHAB PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARROW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "COBY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-593-9999",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Rehab Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.