NPIMap

Organization Active NPI

Dumas Physical Therapy, LLC

Doing business as Dumas Physical Therapy

  • Physical Therapist
  • Dumas, TX
National Provider Identifier
1235363979
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DUMAS PHYSICAL THERAPY, LLC
Doing business as
Dumas Physical Therapy
RehabVisions Canyon
Practice address
515 E 1St St
Dumas, TX 79029-3219
Phone
(806) 934-2634
NPI assigned
May 10, 2009
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Theresa Lynn Godfrey
Title
Clinic Admin Director
Phone
(402) 334-6025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

515 E 1St St
Dumas, TX 79029-3219

Mailing address

11623 Arbor St Ste 200
Omaha, NE 68144-2991
Phone (402) 334-6025

Other practice location 1

9805 FM 2219
Ste 400
Amarillo, TX 79119
Phone (806) 705-8866

Other identifiers 2

IdentifierTypeStateIssuer
204772201MedicaidTX
1013613OtherTXSTATE LICENSURE

Other names 2

  • Dumas Physical Therapy Doing business as
  • RehabVisions Canyon Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgodfrey@rehabvisions.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000165 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577615012 Receives reassigned benefits from 9 practitioners
Practice locations: Amarillo, TX; Dumas, TX

National Provider Directory

National Provider Directory

Locations

9805 FM 2219
Ste 400
Amarillo, TX 79119
Phone (806) 705-8866

515 E 1st St
Dumas, TX 79029
Phone (806) 934-2634

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1241913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1235363979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442991",
            "telephone_number": "402-334-6025",
            "fax_number": "402-334-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293219",
            "telephone_number": "806-934-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9805 FM 2219",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79119",
            "country_code": "US",
            "telephone_number": "806-705-8866",
            "fax_number": "806-730-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUMAS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-10",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC ADMIN DIRECTOR",
        "authorized_official_telephone_number": "402-334-6025"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204772201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "1013613",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgodfrey@rehabvisions.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "515 E 1st St",
            "city": "Dumas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "790293219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dumas Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dumas Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabVisions Canyon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.