Mark Louis Eastham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1234139 Issued in TX

Practice address

3229 High Rd
Flower Mound, TX 75022-6848

Phone

(509) 951-1484

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1992130710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 HIGH RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226848",
            "telephone_number": "509-951-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 HIGH RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750226848",
            "telephone_number": "509-951-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Durrett, LPC-ASSOCIATE
• Hannah Reagan Dvorak, PT, DPT
• Lesley Dyess, M.S., CCC-SLP
• Claire Dyson, SLP
• E.D. Huffman Enterprises PLLC (Joints In Motion PT)
• Eastland Memorial Hospital District (Cross Timbers Rehabilitation and Healthcare Center)
• Koltur C Easton, D.C.
• Magan Rachelle Echols
• Holly E Eddy, LMFT
• Katie Danielle Edmondson

• Physical Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.