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NPI · 1154540540 · NPPES-sourced

Lake Fork Physical Therapy, PLLC

ActivePhysical Therapist
NPI Number
1154540540
Type 2 · Organisation
Taxonomy Code
225100000X
Contact
(903) 474-9436
License TX · 1124006
Last Updated
About 11 years ago (Jul 2014)
Enumerated 2007-04-24
Primary practice addressTX · 75440
903 East Lennon Street, Suite 101Emory, TX 75440
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About this NPIWhat this record shows.

NPI 1154540540 is registered to Lake Fork Physical Therapy, PLLC, a healthcare organisation classified as "Physical Therapist" and located at 903 East Lennon Street, Suite 101 in Emory, Texas. The organisation's authorised official is Paul Bacon. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-04-24
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 00X464TX· Issued by MEDICARE GROUP

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lake Fork Physical Therapy, PLLC accepts. To confirm in-network status with your specific health plan, contact Lake Fork Physical Therapy, PLLC directly at (903) 474-9436.

Frequently asked

Yes. NPI 1154540540 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (903) 474-9436.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lake Fork Physical Therapy, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy225100000X
Last updated2014-07
Enumerated2007-04-24
StatusActive
Partneri
partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Physical Therapist providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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