Organization Active NPI

Joint Mechanics Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Lubbock, TX
National Provider Identifier
1619285699
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1135481 Issued in TX
Legal business name
JOINT MECHANICS PHYSICAL THERAPY PLLC
Practice address
4413 82ND St.
Suite 107
Lubbock, TX 79424-3366
Phone
(806) 319-7488
Fax
(806) 368-5935
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Marshall Reeder
Title
Business Manager
Phone
(806) 319-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1135481 TX Primary

Addresses

Primary practice location

4413 82ND St.
Suite 107
Lubbock, TX 79424-3366

Mailing address

4413 82ND St.
Suite 107
Lubbock, TX 79424-3366
Phone (806) 319-7488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000575 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628246402 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

4413 82nd St
Ste 107
Lubbock, TX 79424
Phone (806) 319-7488

Practitioners & affiliated clinicians

Practitioners 5

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": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1619285699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 82ND ST.",
            "address_2": "SUITE 107",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243366",
            "telephone_number": "806-319-7488",
            "fax_number": "806-368-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 82ND ST.",
            "address_2": "SUITE 107",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243366",
            "telephone_number": "806-319-7488",
            "fax_number": "806-368-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT MECHANICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-319-7488"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1135481",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 26, 2013; 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.