Active NPI
Gilead Spine and Sports Manual Therapy Center
- Orthopedic Physical Therapist
- Rowlett, TX
National Provider Identifier
1427587302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1040442
- Legal business name
- GILEAD SPINE AND SPORTS MANUAL THERAPY CENTER
- Practice address
- 3326 Lakeview Pkwy
Rowlett, TX 75088-3365 - Phone
- (469) 298-2318
- NPI assigned
- Jun 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwin Joseph Mones, PT
- Title
- PT Owner
- Phone
- (469) 298-2318
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1040442 | TX | Primary |
Addresses
Primary practice location
3326 Lakeview Pkwy
Rowlett, TX 75088-3365
Mailing address
3326 Lakeview Pkwy
Rowlett, TX 75088-3365
Phone (469) 298-2318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184953648 | Other | TX | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Rowlett, TX
- NPI 1184953648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1427587302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 LAKEVIEW PKWY",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750883365",
"telephone_number": "469-298-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 LAKEVIEW PKWY",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750883365",
"telephone_number": "469-298-2318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILEAD SPINE AND SPORTS MANUAL THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-05",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MONES",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PT OWNER",
"authorized_official_telephone_number": "469-298-2318",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1040442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1184953648",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.