NPIMap

Organization Active NPI

Prospect Mountain Therapeutic Riding Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Scurry, TX
National Provider Identifier
1306072780
Registry record updated May 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER
Practice address
7471 FM 3094
Scurry, TX 75158-4915
Phone
(469) 595-2019
Fax
(972) 452-3331
NPI assigned
May 30, 2009
Last updated
May 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2009

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

Authorized official

Name
Theresa Rae Lisenby, INSTRUCTOR R.N.NPI 1073790358
Title
Instructor, Ceo
Phone
(469) 595-2019

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Voluntary or Charitable Agency 251V00000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

7471 FM 3094
Scurry, TX 75158-4915

Mailing address

7471 FM 3094
Scurry, TX 75158-4915
Phone (469) 595-2019

Other names 1

  • PMTRC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1243641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243641600000",
    "number": "1306072780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 FM 3094",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751584915",
            "telephone_number": "469-595-2019",
            "fax_number": "972-452-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 FM 3094",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751584915",
            "telephone_number": "469-595-2019",
            "fax_number": "972-452-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT MOUNTAIN THERAPEUTIC RIDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-30",
        "last_updated": "2009-05-30",
        "status": "A",
        "authorized_official_last_name": "LISENBY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "INSTRUCTOR, CEO",
        "authorized_official_telephone_number": "469-595-2019",
        "authorized_official_credential": "INSTRUCTOR R.N."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMTRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scurry, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.