MNM Lonestar Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MNM LONESTAR REHABILITATION, INC.

Practice address

915 Avenue C
Denton, TX 76201-6545

Phone

(940) 595-0566

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Niemiera, PT, CERT. MDT

Title

President

Phone

(940) 595-0566

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LoneStar Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1629013230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762470634",
            "telephone_number": "940-595-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 AVENUE C",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016545",
            "telephone_number": "940-595-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM LONESTAR REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "NIEMIERA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-595-0566",
        "authorized_official_credential": "PT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001NF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179288901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LoneStar Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Denton, TX
• Providers in Denton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.