Individual provider Active NPI

Donna Lee Enmon, PT

  • Physical Therapist
  • McCamey, TX
National Provider Identifier
1194985259
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
101700-2 Issued in TX
Practice address
1604 Burleson Ave
McCamey, TX 79752-1002
Phone
(432) 652-4030
Fax
(432) 652-4025
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 101700-2 TX Primary

Addresses

Primary practice location

1604 Burleson Ave
McCamey, TX 79752-1002

Mailing address

PO Box 1002
MC Camey, TX 79752-1002
Phone (432) 652-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101700-2TXMDPhysical Therapist
1017002TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1194985259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "MC CAMEY",
            "state": "TX",
            "postal_code": "797521002",
            "telephone_number": "432-652-8521",
            "fax_number": "432-652-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BURLESON AVE",
            "city": "MCCAMEY",
            "state": "TX",
            "postal_code": "797521002",
            "telephone_number": "432-652-4030",
            "fax_number": "432-652-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENMON",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "101700-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCamey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.