Active NPI
Lauren Marie Ontiveros, PT, DPT
- Physical Therapist
- Palestine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1200858
- Practice address
- 3201 S Loop 256
Palestine, TX 75801-6901 - Phone
- (903) 661-7057
- NPI assigned
- May 15, 2025
- Last updated
- Jul 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1200858 | TX | Primary |
| Neurology Physical Therapist | 2251N0400X | 1200858 | TX |
Addresses
Primary practice location
3201 S Loop 256
Palestine, TX 75801-6901
Mailing address
18038 Lookout Vly
Flint, TX 75762-9602
Phone (915) 309-3382
Other practice location 1
1327 Troup Hwy
Tyler, TX 75701-4443
Phone (903) 606-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200858 | TX | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Organizations & group practices 2
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 Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1528859865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18038 LOOKOUT VLY",
"city": "FLINT",
"state": "TX",
"postal_code": "757629602",
"telephone_number": "915-309-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758016901",
"telephone_number": "903-661-7057"
}
],
"practiceLocations": [
{
"address_1": "1327 Troup Hwy",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757014443",
"country_code": "US",
"telephone_number": "903-606-2111",
"fax_number": "903-606-2113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1200858",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "TX",
"license": "1200858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
- Obstetrics & Gynecology Associates of East Texas
- Terra Michelle Oden, LMSW
- Gideon Okaili
- Oyindamola Ayomide Olorunfemi, PHARMD
- Gregory James Oneill, CRNA
- Ortholonestar, PLLC (Azalea Orthopedics & Sports Medicine Clinic)
- Russell C. Packard, M.D.
- Monica Page
- Pain Management Associates of East Texas, PA
- Palestine Dental PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.