Organization Active NPI

Pineywoods Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Rusk, TX
National Provider Identifier
1841898137
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PINEYWOODS PHYSICAL THERAPY LLC
Practice address
1400 West 6TH Street
Suite 6 and 7
Rusk, TX 75785
Phone
(936) 645-3348
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Tad Evans Scott, PT, DPTNPI 1215313580
Title
Owner
Phone
(936) 645-3348

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1400 West 6TH Street
Suite 6 and 7
Rusk, TX 75785

Mailing address

PO Box 979
Rusk, TX 75785-0979
Phone (936) 645-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107002613 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254744477 Receives reassigned benefits from 1 practitioner
Practice locations: Rusk, TX

National Provider Directory

National Provider Directory

Locations

981 W 6th St
#6
Rusk, TX 75785
Phone (430) 300-1135

1400 W 6th St
Ste 6
Rusk, TX 75785
Phone (936) 645-3348

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1841898137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757850979",
            "telephone_number": "936-645-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WEST 6TH STREET",
            "address_2": "SUITE 6 AND 7",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "75785",
            "telephone_number": "936-645-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEYWOODS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-645-3348",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.