Organization Active NPI

Mount Pleasant Physical Therapy PC

  • Physical Therapist
  • New Boston, TX
National Provider Identifier
1366497570
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125979 Issued in TX
Legal business name
MOUNT PLEASANT PHYSICAL THERAPY PC
Practice address
303 N Center St
New Boston, TX 75570-2918
Phone
(903) 628-7700
Fax
(903) 628-7701
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Wade Batchelor, PT/OWNERNPI 1780626416
Title
PT/Owner
Phone
(903) 628-7700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1125979 TX Primary

Addresses

Primary practice location

303 N Center St
New Boston, TX 75570-2918

Mailing address

303 N Center St
New Boston, TX 75570-2918
Phone (903) 628-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050418001042 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315985694 Receives reassigned benefits from 11 practitioners
Practice locations: De Kalb, TX; Wake Village, TX; New Boston, TX; Texarkana, TX
O20240727000285 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315985694 Receives reassigned benefits from 2 practitioners
Practice locations: Hope, AR

National Provider Directory

National Provider Directory

Locations

2510 N Hervey St
#C
Hope, AR 71801

203 E Front St
De Kalb, TX 75559
Phone (903) 667-7000

400 S Madison Ave
Mt Pleasant, TX 75455
Phone (903) 577-3700

303 N Center St
New Boston, TX 75570
Phone (903) 577-3700

5416 Plaza Dr
Texarkana, TX 75503
Phone (903) 791-0333

5602 Richmond Rd
Ste 106
Texarkana, TX 75503
Phone (903) 791-0333

600 N Kings Hwy
Ste 2
Wake Village, TX 75501
Phone (903) 794-0055

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1366497570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CENTER ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702918",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTER ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702918",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "903-628-7700",
        "authorized_official_credential": "PT/OWNER"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.