Individual provider Active NPI

Harold John Myers III, PT

  • Physical Therapist
  • Texarkana, TX
National Provider Identifier
1275245342
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1096709 Issued in TX
Practice address
9 Woodmont Crossing St
Texarkana, TX 75503-2136
Phone
(903) 753-6635
Fax
(903) 753-1114
NPI assigned
Dec 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1096709 TX Primary

Addresses

Primary practice location

9 Woodmont Crossing St
Texarkana, TX 75503-2136

Mailing address

PO Box 5360
Longview, TX 75608-5360
Phone (903) 753-6635

Other practice location 1

402 N Kaufman St
Linden, TX 75563-5234
Phone (903) 753-6635

Other identifiers 1

IdentifierTypeStateIssuer
1096709OtherTXTEXAS BOARD OF PHYSICAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hmyers@core-rehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Managment Joint Venture LLP Physical Therapist PastSince Dec 28, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1275245342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5360",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085360",
            "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": "9 WOODMONT CROSSING ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032136",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Kaufman St",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "TX",
            "postal_code": "755635234",
            "country_code": "US",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "HAROLD",
        "middle_name": "JOHN",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1096709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY",
            "identifier": "1096709",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hmyers@core-rehab.com",
            "affiliation": "N",
            "address_1": "9 Woodmont Crossing St",
            "city": "Texarkana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "755032136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.