Organization Active NPI

East Texas Therapy Centers, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Livingston, TX
National Provider Identifier
1841204658
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
EAST TEXAS THERAPY CENTERS, LLC
Practice address
1900 North Washington
Livingston, TX 77351-2105
Phone
(936) 327-5748
Fax
(936) 327-5749
NPI assigned
Jul 28, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Laura Squiers
Title
Vice President
Phone
(936) 633-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1900 North Washington
Livingston, TX 77351-2105

Mailing address

4100 S Medford Dr
Suite 100
Lufkin, TX 75901-5622
Phone (936) 633-6901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1841204658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR",
            "address_2": "SUITE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015622",
            "telephone_number": "936-633-6901",
            "fax_number": "936-633-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NORTH WASHINGTON",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512105",
            "telephone_number": "936-327-5748",
            "fax_number": "936-327-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS THERAPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SQUIERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "936-633-6901"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.