Therapeutic Endeavors LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1139889 Issued in TX

Legal business name

THERAPEUTIC ENDEAVORS LLC

Practice address

156 S Main St Ste 200
Lumberton, TX 77657-7882

Phone

(409) 658-9369

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. William Sellers, PTNPI 1104001247

Title

President

Phone

(409) 658-9369

Specialties & licenses 1

Addresses

Other names 1

• Pro-Fit Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Tyson Sellers, PT

  • Physical Therapist
  • Lumberton, TX
  • NPI 1104001247

  TX

  Medicare reassignment NPD Authorized official
• Derek Douglas Botten, PTA

  • Physical Therapy Assistant
  • Silsbee, TX
  • NPI 1568703213
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1235570201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 HIGHWAY 96 BYP",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776567623",
            "telephone_number": "409-658-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST STE 200",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577882",
            "telephone_number": "409-658-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ENDEAVORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-658-9369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1139889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro-Fit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Linda Kay Timaeus, RPH
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• All providers in Lumberton, TX
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.