Organization Active NPI

Pine Tree Physical Therapy

Doing business as PT2

  • Physical Therapist
  • Longview, TX
National Provider Identifier
1952536849
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1073070 Issued in TX
Legal business name
PINE TREE PHYSICAL THERAPY
Doing business as
PT2
Practice address
2 Alice Cir
Longview, TX 75605-1439
Phone
(903) 387-0465
Fax
(903) 291-0637
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mrs. Jane Brandon Ball, MSPTNPI 1952429482
Title
Owner/President
Phone
(903) 387-0465

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1073070 TX Primary

Addresses

Primary practice location

2 Alice Cir
Longview, TX 75605-1439

Mailing address

2 Alice Cir
Longview, TX 75605-1439
Phone (903) 387-0465

Other names 1

  • PT2 Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Judson Rd
Longview, TX 75605
Phone (903) 387-0465

Practitioners & affiliated clinicians

Practitioners 2

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": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1952536849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALICE CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051439",
            "telephone_number": "903-387-0465",
            "fax_number": "903-291-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALICE CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051439",
            "telephone_number": "903-387-0465",
            "fax_number": "903-291-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "903-387-0465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1073070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.