Organization Active NPI

Pinnacle Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Beaumont, TX
National Provider Identifier
1679018519
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11663639 Issued in TX
Legal business name
PINNACLE PHYSICAL THERAPY SERVICES
Practice address
4025 Eastex Fwy
Beaumont, TX 77706-7146
Phone
(409) 347-8585
Fax
(409) 750-7772
NPI assigned
Jan 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
James Daniel BurkeNPI 1619134848
Title
Owner
Phone
(409) 347-8585

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
Physical Therapy Clinic/Center 261QP2000X 11663639 TX Primary

Addresses

Primary practice location

4025 Eastex Fwy
Beaumont, TX 77706-7146

Mailing address

224 Creekside Loop
Sour Lake, TX 77659-9799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707000719 TX Part B Supplier - Clinic/Group Practice 0547539553 Receives reassigned benefits from 1 practitioner
Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Locations

4027 Eastex Fwy
Beaumont, TX 77706
Phone (409) 673-7641

4031 Eastex Fwy
Beaumont, TX 77706

Practitioners & affiliated clinicians

Practitioners 2

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": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1679018519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CREEKSIDE LOOP",
            "city": "SOUR LAKE",
            "state": "TX",
            "postal_code": "776599799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067146",
            "telephone_number": "409-347-8585",
            "fax_number": "409-750-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-347-8585"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "11663639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.