Active NPI
Healthtexas Provider Network
- Physical Therapist
- Greenville, TX
National Provider Identifier
1891239430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HEALTHTEXAS PROVIDER NETWORK
- Practice address
- 4400 I H 30 W Ste 120
Greenville, TX 75402-4615 - Phone
- (903) 455-7538
- Fax
- (903) 455-7548
- NPI assigned
- Dec 16, 2016
- Last updated
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Reeves
- Title
- Director
- Phone
- (214) 865-2753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
4400 I H 30 W Ste 120
Greenville, TX 75402-4615
Mailing address
301 N Washington Ave
Dallas, TX 75246-1754
Phone (214) 865-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170314000735 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1355254210 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Irving, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Grapevine, TX
- NPI 1275809378
-
- Physical Therapist
- Greenville, TX
- NPI 1033225768
-
- Physical Therapist
- Irving, TX
- NPI 1538751698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1891239430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461754",
"telephone_number": "214-865-2723",
"fax_number": "469-800-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 I H 30 W STE 120",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754024615",
"telephone_number": "903-455-7538",
"fax_number": "903-455-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHTEXAS PROVIDER NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-16",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-865-2753"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.