Organization Active NPI

Pain Management Joint Venture, LLP

Doing business as Centre Of Rehabilitation Excellence

  • Occupational Therapist
  • Lone Star, TX
National Provider Identifier
1235226994
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5500600000 Issued in TX
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 5500600000 TX Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.