Organization Active NPI

Physical Therapy Clinic of Paris, LP

  • Rehabilitation Clinic/Center
  • Paris, TX
National Provider Identifier
1285688440
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHYSICAL THERAPY CLINIC OF PARIS, LP
Practice address
3270 Lamar Ave # 105
Paris, TX 75460-5022
Phone
(903) 785-3861
Fax
(903) 739-8768
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mrs. Avery SchullerNPI 1538624101
Title
Asst Administrator
Phone
(037) 853-8619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3270 Lamar Ave # 105
Paris, TX 75460-5022

Mailing address

3270 Lamar Ave # 105
Paris, TX 75460-5022
Phone (903) 785-3861

Other identifiers 1

IdentifierTypeStateIssuer
021665701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000610 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224924113 Practice locations: Paris, TX; Clarksville, TX

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Clinic of Paris2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3270 Lamar Ave
Ste 105
Paris, TX 75460
Phone (903) 785-3861

4025 Lamar Ave
Ste 100
Paris, TX 75462
Phone (903) 785-3861

3270 Lamar Ave
#300
Paris, TX 75460

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1285688440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 LAMAR AVE # 105",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605022",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 LAMAR AVE # 105",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605022",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC OF PARIS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "ASST ADMINISTRATOR",
        "authorized_official_telephone_number": "037-853-8619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021665701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.