Joe Petree, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2114207 Issued in TX

Practice address

200 W 8TH St
Cisco, TX 76437-3023

Phone

(254) 631-7503

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petree and Hearne Therapy Enterprises, PLLC

  dba Pivot Physical Therapy

  • Physical Therapy Clinic/Center
  • Cisco, TX
  • NPI 1265989271
  Authorized official Same address or phone

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1831649433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 8TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764373023",
            "telephone_number": "254-631-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 8TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764373023",
            "telephone_number": "254-631-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETREE",
        "first_name": "JOE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2114207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Mark, LMSW
• Ashley McKee, LMFT ASSOCIATE
• Laura Diane Miller, LVN
• Keali Mullins
• Petree and Hearne Therapy Enterprises, PLLC (Pivot Physical Therapy)
• Rhonda Lynne Pipkin, LPC, MA, PSYD
• Plexus Medical Supply, LLC
• Plexus Treatment Centers, P.a. (Plexus Healthcare Center)
• Pyramid Healthcare Corp. (Canterbury Villa of Cisco)
• Jonathon Heath Reich, DC

• Physical Therapy Assistant in Cisco, TX
• Providers in Cisco, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.