Ispine (Primetime Rehabilitation and Performance Division)

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

M8869 Issued in TX

Legal business name

ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)

Practice address

2710 N Josey LN
Suite 302
Carrollton, TX 75007-5400

Phone

(832) 969-2784

NPI assigned

Aug 12, 2014

Organization subpart

Yes

Parent organization

ISPINE SPORTS MEDICINE AND PAIN MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Dr. Reginald James Newsome, MD

Title

Ceo

Phone

(832) 969-2784

Specialties & licenses 1

Addresses

Part of

Ispine Sports Medicine and Pain Management PA

Locations

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.

• Ispine Sports Medicine and Pain Management, PA

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1215354972
  NPPES parent name

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1245649557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTON ST APT 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015932",
            "telephone_number": "832-969-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N JOSEY LN",
            "address_2": "SUITE 302",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075400",
            "telephone_number": "832-969-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-969-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Andrew Irvine, BCBA
• Christian Edward Isaac, M.D.
• Maria T Isava, LCSW
• Muhammad Ishfaq, M.D
• Ipek Isikli, LMFT, LCDC
• Gregory Roy Istre, M.D.
• Bhanumathi Ivatury, PHD LCSW
• Ivedco, LLC
• Vinaya Iyer
• J Subramanian MD PLLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.