Longview Outpatient Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LONGVIEW OUTPATIENT PHYSICAL THERAPY LLC

Doing business as

Core

Practice address

3202 N 4TH St
Suite 101
Longview, TX 75605-5143

Phone

(903) 753-6635

Fax

(903) 753-1114

NPI assigned

Oct 24, 2013

Last updated

Jun 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Ford

Title

Director

Phone

(903) 247-0484

Specialties & licenses 2

Addresses

Other names 1

• CORE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Charles Flint

  • Physical Therapist
  • Texarkana, TX
  • NPI 1376008227
  Medicare reassignment Care Compare group NPD
• Alyssa T Smith, DPT

  • Physical Therapist
  • Longview, TX
  • NPI 1003579202
  Medicare reassignment Care Compare group NPD
• Christopher William Stanley, PT

  • Physical Therapist
  • Longview, TX
  • NPI 1457524431
  Medicare reassignment Care Compare group NPD
• Thomas Alton Lorren III, P.T.

  • Orthopedic Physical Therapist
  • Longview, TX
  • NPI 1154383628
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1730517004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484",
            "fax_number": "903-247-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 N 4TH ST",
            "address_2": "SUITE 101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lone Star",
            "state": "TX",
            "postal_code": "756682223",
            "country_code": "US",
            "telephone_number": "903-656-2419",
            "fax_number": "903-656-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGVIEW OUTPATIENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-247-0484"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Longview Medical Center LP (Longview Regional Medical Center)
• Longview Medical Center LP (Longview Regional Medical Center)
• Longview Ophthalmology Associates, PLLC
• Longview Orthopaedic Clinic Association
• Longview Outpatient Physical Therapy LLC (Core)
• Longview Pediatrics, PLLC
• Longview Physicians Surgical Center (Physicians' Surgery Center of Longview)
• Longview Primary Care PLLC
• Longview Professional Assistance (TS Transportation Services)
• Longview Psychiatric Center PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.