Organization Active NPI

Texoma Physical Therapy PLLC

Doing business as Texoma Therapy Services

  • Specialist
  • Sherman, TX
National Provider Identifier
1740299056
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1020311 Issued in TX
Legal business name
TEXOMA PHYSICAL THERAPY PLLC
Doing business as
Texoma Therapy Services
Practice address
301 N Highland Ave
Sherman, TX 75092-7349
Phone
(903) 957-0385
Fax
(903) 957-4006
NPI assigned
Aug 5, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Omar Lirio Linzag, PTNPI 1518908425
Title
Owner
Phone
(903) 957-0385

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 649170000 TX
Specialist 174400000X 549960000 TX
Specialist 174400000X 1081404 TX
Specialist 174400000X 1073286 TX
Specialist 174400000X 108869 TX
Specialist 174400000X 1074177 TX
Specialist 174400000X 1020311 TX Primary

Addresses

Primary practice location

301 N Highland Ave
Sherman, TX 75092-7349

Mailing address

301 N Highland Ave
Sherman, TX 75092-7349
Phone (903) 957-0385

Other identifiers 2

IdentifierTypeStateIssuer
0037JBOtherTXBCBS GOUP NUMBER
152780601MedicaidTX

Other names 1

  • Texoma Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1740299056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927349",
            "telephone_number": "903-957-0385",
            "fax_number": "903-957-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927349",
            "telephone_number": "903-957-0385",
            "fax_number": "903-957-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "LINZAG",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "LIRIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-957-0385",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "649170000",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "549960000",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1081404",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1073286",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "108869",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1074177",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1020311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GOUP NUMBER",
            "identifier": "0037JB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152780601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.