Re-Form Physical Therapy and Pilates, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RE-FORM PHYSICAL THERAPY AND PILATES, LLC

Practice address

1916 S Carolina St
Suite 100
Amarillo, TX 79102-2106

Phone

(806) 803-9517

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jentry Elise Williams, PT

Title

Owner

Phone

(806) 803-9517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jentry Elise Bradley, PT, DPT

  • Physical Therapist
  • Amarillo, TX
  • NPI 1750642021
  Medicare reassignment Care Compare group NPD
• Lauren Kaminski, PT, DPT

  • Physical Therapist
  • Amarillo, TX
  • NPI 1083592307
  Medicare reassignment Care Compare group NPD
• Erin Ann Park, PT, DPT

  • Physical Therapist
  • Amarillo, TX
  • NPI 1063846111
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1699140046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 S CAROLINA ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022106",
            "telephone_number": "806-803-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 S CAROLINA ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022106",
            "telephone_number": "806-803-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-FORM PHYSICAL THERAPY AND PILATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENTRY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-803-9517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arunava D Ray, M.D.
• Chelsie Lucille Ray, PA-C
• Cheryl L. Ray, LCSW
• Janice Ray, CPNP
• Tanya Rayfield, COTA
• Jessica Rea, PHARM.D.
• Reagan Crossnoe M.D P.a. (Crossnoe Orthopedic Surgery)
• Recovatry, LLC
• Pamela Rector
• Sabra Charlane Rector, RN

• Physical Therapy Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.