Longview Restorative Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

M3109 Issued in TX

Legal business name

LONGVIEW RESTORATIVE THERAPY

Doing business as

Mt. Pleasant Restorative Therapy

Practice address

2320 Harts Bluff Rd
Mt Pleasant, TX 75455-7453

Phone

(903) 845-8445

Fax

(903) 845-8421

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Eric Brevard, DC

Title

Managing Authority

Phone

(903) 845-8445

Specialties & licenses 1

Addresses

Other names 1

• Mt. Pleasant Restorative Therapy Doing business as

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306921937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W UPSHUR AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756472124",
            "telephone_number": "903-845-8445",
            "fax_number": "903-845-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HARTS BLUFF RD",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754557453",
            "telephone_number": "903-845-8445",
            "fax_number": "903-845-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW RESTORATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREVARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGING AUTHORITY",
        "authorized_official_telephone_number": "903-845-8445",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Pleasant Restorative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Lick, P.T.
• Lincare Inc.
• Charlotte Lorraine Lively, RD
• Megan Anne Loewen, LM, CPM
• Meredith Longino, CPNP, APRN
• Longview Wellness Center Inc
• Longview Wellness Center, Inc.
• Miranda Kay Loyd, OTR
• Bailey Luker
• Don A Lutes

• Physical Medicine & Rehabilitation Physician in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.