Active NPI
Ma Joyce Diane Tan Pecho, PT
- Physical Therapist
- Greenville, TX
National Provider Identifier
1316622822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1271497
- Practice address
- 4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852 - Phone
- (903) 408-1886
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1271497 | TX | Primary |
Addresses
Primary practice location
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Mailing address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-1886
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1271497 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1316622822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 JOE RAMSEY BLVD E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017852",
"telephone_number": "903-408-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 JOE RAMSEY BLVD E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017852",
"telephone_number": "903-408-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECHO",
"first_name": "MA JOYCE DIANE",
"middle_name": "TAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1271497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.