Active NPI
Shonda Marie Rowell-Hazel, P.T.
- Physical Therapist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1091056
- 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, 2018
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8JM153 | Other | TX | BCBS |
| 3855416801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
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 100
- Quality
- 93
- Improvement activities
- 40
- Cost
- 77.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1091056 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy, Inc | Physical Therapist | Current | 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.
-
dba Freedom Physical Therapy
- Physical Therapy Assistant
- Granbury, TX
- NPI 1699716076
Physical Therapist
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.