Individual provider Active NPI

Shonda Marie Rowell-Hazel, P.T.

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1396941738
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1091056 Issued in TX
Practice address
4138 19TH St
Lubbock, TX 79407
Phone
(806) 780-2329
Fax
(806) 780-2330
NPI assigned
Jun 22, 2007
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 1091056 TX Primary

Addresses

Primary practice location

4138 19TH St
Lubbock, TX 79407

Mailing address

2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008

Other practice location 1

1506 S Sunset Ave Ste B
Littlefield, TX 79339-4813
Phone (806) 368-5374

Other practice location 2

2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008

Other practice location 3

4642 N Loop 289 Ste 205
Lubbock, TX 79416-2424
Phone (806) 771-1352

Other practice location 4

6202 82nd St
Lubbock, TX 79424-3691
Phone (806) 687-8008

Other identifiers 2

IdentifierTypeStateIssuer
8JM153OtherTXBCBS
3855416801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001665 TX Practitioner - Physical Therapist in Private Practice 8921353780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Southwestern Medical School at Dallas, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy IncGroup PAC ID 4789609801, 8 clinicians

Practice addresses (Care Compare)

5310 Acton Hwy
Suite 106
Granbury, TX 76049-3105
Phone (817) 326-1375

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
93
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1091056TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Physical Therapist CurrentSince Mar 3, 2023 Accepting new patients

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

Organizations & group practices 1

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1396941738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008",
            "fax_number": "806-771-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-780-2329",
            "fax_number": "806-780-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 S Sunset Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Littlefield",
            "state": "TX",
            "postal_code": "793394813",
            "country_code": "US",
            "telephone_number": "806-368-5374",
            "fax_number": "806-385-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 S Loop 289",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231519",
            "country_code": "US",
            "telephone_number": "806-771-8008",
            "fax_number": "806-771-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4642 N Loop 289 Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794162424",
            "country_code": "US",
            "telephone_number": "806-771-1352",
            "fax_number": "806-771-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6202 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243691",
            "country_code": "US",
            "telephone_number": "806-687-8008",
            "fax_number": "806-687-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWELL-HAZEL",
        "first_name": "SHONDA",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1091056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8JM153",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3855416801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.