POLSTER DELONG MCKINNEY GROUP, LLC (NPI# 1205388832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205388832 |
| Entity Type | Organization |
| Organization Name | POLSTER DELONG MCKINNEY GROUP, LLC |
| Other Organization Name | AMARILLO STRENGTH AND BALANCE CLINIC |
| Practice Address |
1911 Port Ln Suite #1 Amarillo TX 79106-2470 |
| Practice Telephone | 8066765597 |
| Mailing Telephone | 8066765597 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | DR. AARON BRUGH DELONG (MEMBER) |
| Authorized Official Telephone | 8066765597 |
| Authorized Official Credential | PT, SCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amarillo Strength and Balance Clinic | Doing Business As Name - Organization |
| Street Address |
1911 PORT LN SUITE #1 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518910512 | Jose Arias Md Pa | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2006-05-18 |
| 1649721440 | Thomas Mckinney | Physical Therapy Assistant | 1911 Port Ln, Suite #1, Amarillo, TX 79106-2470 | 2016-10-18 |
| 1023568227 | Emmet Polster | Physical Therapist | 1911 Port Ln, Suite 1, Amarillo, TX 79106-2470 | 2016-10-11 |
| 1669632972 | Watson P Roye Md Pa | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2008-06-10 |
| 1588841316 | New Life Bariatric, Pa | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2008-01-23 |
| 1699810788 | Tanya Diane Jackson | Registered Nurse | 1911 Port Ln, Amarillo, TX 79106-2470 | 2007-02-20 |
| 1952332512 | Ralph Crum | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2006-07-05 |
| 1114973260 | Jose P Arias | Surgery | 1911 Port Ln, Amarillo, TX 79106-2470 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994697 | In Power Physical Therapy & Performance | Clinic/Center | 2832 Wolflin Ave, Amarillo, TX 79109-1633 | 2020-05-26 |
| 1558881383 | Strive Therapy, Pllc | Clinic/Center | 1741 S Avondale St, Amarillo, TX 79106-4516 | 2017-06-22 |
| 1437435831 | Rex Pyle | Clinic/Center | 7220 Sw 34th Apt 419, Amarillo, TX 79109-3959 | 2011-10-30 |
| 1104950666 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1619 S. Kentucky, Suite F-600, Amarillo, TX 79102 | 2007-03-15 |
| 1699140046 | Re-form Physical Therapy and Pilates, LLC | Clinic/Center | 2615 Wolflin Vlg, Amarillo, TX 79109-1838 | 2015-12-10 |
| 1770982381 | Lydia Marie Handon | Clinic/Center | 3701 Olsen Blvd, Amarillo, TX 79109-3053 | 2014-08-19 |
| 1942558168 | Turn Center | Clinic/Center | 1250 Wallace Blvd, Amarillo, TX 79106-1741 | 2012-08-20 |
| 1497058689 | Optimal Physical Therapy Solutions, LLC | Clinic/Center | 6204 Hillside Rd, Suite 1000, Amarillo, TX 79109-7196 | 2010-12-10 |
| 1669533063 | West Texas Physical Therapy Limited Partnership | Clinic/Center | 1901 Medi Park Dr, Suite 1010, Amarillo, TX 79106-2107 | 2006-12-12 |
| 1841200524 | Panhandle Sports Medicine Institute, Pa | Clinic/Center | 6022 W 48th Ave, Amarillo, TX 79109-7504 | 2006-08-08 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.