Organization Active NPI

Masters Physical Therapy, Inc.

  • Physical Therapist
  • Lufkin, TX
National Provider Identifier
1417173584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
157438 Issued in TX
Legal business name
MASTERS PHYSICAL THERAPY, INC.
Practice address
123 Westchester St
Lufkin, TX 75901-7357
Phone
(936) 634-3535
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jan Sofrides Viet, LPT, MTC
Title
President
Phone
(936) 634-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 157438 TX Primary

Addresses

Primary practice location

123 Westchester St
Lufkin, TX 75901-7357

Mailing address

123 Westchester St
Lufkin, TX 75901-7357
Phone (936) 634-3535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417173584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WESTCHESTER ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017357",
            "telephone_number": "936-634-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WESTCHESTER ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017357",
            "telephone_number": "936-634-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIET",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "SOFRIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-634-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT, MTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "157438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.