Organization Active NPI

Gilead Spine and Sports Manual Therapy Center

  • Orthopedic Physical Therapist
  • Rowlett, TX
National Provider Identifier
1427587302
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1040442 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Edwin Joseph Mones, PTNPI 1184953648
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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1184953648OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728000145 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597035253 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.