Organization Active NPI

Texas Spine & Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
National Provider Identifier
1942622287
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K8057 Issued in TX
Legal business name
TEXAS SPINE & REHABILITATION PA
Practice address
977 Raintree Cir
Suite 230
Allen, TX 75013-5022
Phone
(214) 383-6611
Fax
(214) 383-6614
NPI assigned
Jan 6, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Craig A Chambers, MDNPI 1285635029
Title
Owner
Phone
(214) 383-6611

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 Medicine & Rehabilitation Physician 208100000X K8057 TX Primary

Addresses

Primary practice location

977 Raintree Cir
Suite 230
Allen, TX 75013-5022

Mailing address

977 Raintree Cir
Suite 230
Allen, TX 75013-5022
Phone (214) 383-6611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140617001765 TX Part B Supplier - Clinic/Group Practice 1951525708 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

977 Raintree Cir
Ste 230
Allen, TX 75013
Phone (214) 383-6611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAGCA

Practitioners & affiliated clinicians

Practitioners 3

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": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1942622287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 RAINTREE CIR",
            "address_2": "SUITE 230",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135022",
            "telephone_number": "214-383-6611",
            "fax_number": "214-383-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 RAINTREE CIR",
            "address_2": "SUITE 230",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135022",
            "telephone_number": "214-383-6611",
            "fax_number": "214-383-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE & REHABILITATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-383-6611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K8057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.