Organization Active NPI

Town East Physical Therapy & Rehabiliation

  • Physical Therapy Clinic/Center
  • Mesquite, TX
National Provider Identifier
1679719637
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
66382000 Issued in TX
Legal business name
TOWN EAST PHYSICAL THERAPY & REHABILIATION
Practice address
18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629
Phone
(972) 270-2277
Fax
(972) 270-2277
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Jason A Winburne, PTNPI 1356412019
Title
Director
Phone
(972) 270-2277

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 66382000 TX Primary

Addresses

Primary practice location

18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629

Mailing address

18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629
Phone (972) 270-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000576 TX Part B Supplier - Clinic/Group Practice 0547312175 Receives reassigned benefits from 3 practitioners
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

1900 Oates Dr
Ste 119
Mesquite, TX 75150
Phone (972) 270-2277

18601 Lyndon B Johnson Fwy
Ste 116
Mesquite, TX 75150
Phone (972) 270-2277

Practitioners & affiliated clinicians

Practitioners 3

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": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1679719637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505629",
            "telephone_number": "972-270-2277",
            "fax_number": "972-270-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505629",
            "telephone_number": "972-270-2277",
            "fax_number": "972-270-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN EAST PHYSICAL THERAPY & REHABILIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "WINBURNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-270-2277",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "66382000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.