Individual provider Active NPI

Greg A Hulsey, DPT, PT, ATC, LAT

  • Physical Therapist
  • Commerce, TX
National Provider Identifier
1356349385
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1061034 Issued in TX
Practice address
2544 Mangum St
Commerce, TX 75428-3515
Phone
(903) 886-7669
Fax
(903) 886-7679
NPI assigned
Jul 13, 2005
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 1061034 TX Primary

Addresses

Primary practice location

2544 Mangum St
Commerce, TX 75428-3515

Mailing address

2544 Mangum St
Commerce, TX 75428-3515
Phone (903) 886-7669

Other identifiers 3

IdentifierTypeStateIssuer
141625702MedicaidTX
1061034OtherTXTEXAS PT LICENSURE
676522OtherTXMEDICARE - GROUP

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

LicenseStateTypeSpecialty
1061034TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hulsey Therapy Services, PC Physical Therapist Current Accepting new patients
Endeavor Rehab Center Inc Physical Therapist Past Accepting new patients

Locations

2544 Mangum St
Commerce, TX 75428
Phone (903) 886-7669

4101 Wesley St
Ste H
Greenville, TX 75401
Phone (903) 454-8100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1356349385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 MANGUM ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754283515",
            "telephone_number": "903-886-7669",
            "fax_number": "903-886-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 MANGUM ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754283515",
            "telephone_number": "903-886-7669",
            "fax_number": "903-886-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "GREG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1061034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141625702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PT LICENSURE",
            "identifier": "1061034",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "676522",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.