Organization Active NPI

MTR Treatment Corp

Doing business as More Than Rehab

  • Substance Abuse Rehabilitation Facility
  • Tyler, TX
National Provider Identifier
1225618507
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MTR TREATMENT CORP
Doing business as
More Than Rehab
Practice address
112 E Line St Ste 100
Tyler, TX 75702-5760
Phone
(979) 485-5451
Fax
(979) 704-5008
NPI assigned
Apr 12, 2021
Organization subpart
Yes
Parent organization
MTR TREATMENT CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
William Adam Shinn
Title
Compliance Officer
Phone
(979) 485-5451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

112 E Line St Ste 100
Tyler, TX 75702-5760

Mailing address

112 E Line St Ste 100
Tyler, TX 75702-5760
Phone (979) 485-5451

Other names 1

  • More Than Rehab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2264061MTR Treatment Corp Tyler112 East Line Street Suite 100, Tyler, TX 75702Certificate of waiverJul 10, 2026

National Provider Directory

National Provider Directory
Part of
MTR Treatment Corp

Locations

112 E Line St
Ste 100
Tyler, TX 75702
Phone (859) 312-3595

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1225618507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E LINE ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025760",
            "telephone_number": "979-485-5451",
            "fax_number": "979-704-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E LINE ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025760",
            "telephone_number": "979-485-5451",
            "fax_number": "979-704-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTR TREATMENT CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MTR TREATMENT CORP",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "979-485-5451"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "More Than Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.