Active NPI
Pain Management Joint Venture, LLP
Doing business as Centre Of Rehabilitation Excellence
- Occupational Therapist
- Lone Star, TX
National Provider Identifier
1235226994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5500600000
- Legal business name
- PAIN MANAGEMENT JOINT VENTURE, LLP
- Doing business as
- Centre Of Rehabilitation Excellence
- Practice address
- 123 N Main St.
Lone Star, TX 75668 - Phone
- (903) 656-2419
- Fax
- (903) 656-2350
- NPI assigned
- Oct 6, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bobby Hale
- Title
- Dir of Operations
- Phone
- (903) 753-6635
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5500600000 | TX | Primary |
| Physical Therapist | 225100000X | TX |
Addresses
Primary practice location
123 N Main St.
Lone Star, TX 75668
Mailing address
3206 N 4TH St
Longview, TX 75605-5143
Phone (903) 753-6635
Other names 1
- Centre Of Rehabilitation Excellence
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1235226994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055143",
"telephone_number": "903-753-6635",
"fax_number": "903-753-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N MAIN ST.",
"city": "LONE STAR",
"state": "TX",
"postal_code": "75668",
"telephone_number": "903-656-2419",
"fax_number": "903-656-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT JOINT VENTURE, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "BOBBY",
"authorized_official_title_or_position": "DIR OF OPERATIONS",
"authorized_official_telephone_number": "903-753-6635",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "TX",
"license": "5500600000",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centre Of Rehabilitation Excellence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lone Star, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.