Active NPI
Cathy Renea Cheatham, PT
- Physical Therapist
- Palestine, TX
National Provider Identifier
1659568418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1-6850-0
- Practice address
- 1816 Tile Factory Rd
Palestine, TX 75803-8472 - Phone
- (903) 723-0950
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1-6850-0 | TX | Primary |
Addresses
Primary practice location
1816 Tile Factory Rd
Palestine, TX 75803-8472
Mailing address
2005 Crockett Rd
Palestine, TX 75801-5907
Phone (903) 723-8898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-6850-0 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1659568418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 CROCKETT RD",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758015907",
"telephone_number": "903-723-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 TILE FACTORY RD",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758038472",
"telephone_number": "903-723-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "CATHY",
"middle_name": "RENEA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1-6850-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.