| Core | |
|
3202 N 4th St, Suite 101, Longview, TX 75605-5143 | |
| (903) 753-6635 | |
| (903) 753-1114 |
| Full Name | Core |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3202 N 4th St, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730517004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Thomas A Lorren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154383628 PECOS PAC ID: 2668466087 Enrollment ID: I20040803000994 |
| Provider Name | Jason Robert Gough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598983215 PECOS PAC ID: 4880025501 Enrollment ID: I20200618000253 |
| Provider Name | John Charles Flint |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376008227 PECOS PAC ID: 9739505678 Enrollment ID: I20200821001993 |
| Provider Name | Alyssa T Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003579202 PECOS PAC ID: 2668862202 Enrollment ID: I20211214000915 |
| Provider Name | Harold John Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275245342 PECOS PAC ID: 9830560556 Enrollment ID: I20230117001398 |
| Provider Name | Christopher Stanley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457524431 PECOS PAC ID: 5193081990 Enrollment ID: I20230228002322 |
| Mailing Address | Practice Location Address |
|---|---|
| Core 4002 Technology Ctr, Longview, TX 75605-2697 Ph: (903) 247-0484 | Core 3202 N 4th St, Suite 101, Longview, TX 75605-5143 Ph: (903) 753-6635 |
Ms. Trisha Lee Brown, ATC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Woodbine Pl Unit 775, Longview, TX 75601 Phone: 039-757-8194 Fax: 903-757-8294 | |
Alyssa T Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3202 4th St Ste 101, Longview, TX 75605 Phone: 903-753-6635 Fax: 903-753-1114 | |
Robert Bailey Culp, Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Hollybrook Dr, Longview, TX 75605 Phone: 903-758-8888 | |
Mrs. Laura Lou Ann Austin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3206 N 4th St, Longview, TX 75605 Phone: 903-753-6635 Fax: 903-753-1114 | |
Mrs. Celia J Bower, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2715 Patio St, Longview, TX 75605 Phone: 903-759-1509 Fax: 903-295-0099 | |
Shayne Wright, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2903 Judson Rd, Longview, TX 75605 Phone: 903-235-5468 | |
Kevin Johns, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Loop 281, Suite 800, Longview, TX 75605 Phone: 903-315-5580 |