ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION) (NPI# 1245649557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245649557 |
| Entity Type | Organization |
| Organization Name | ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION) |
| Practice Address |
2710 N Josey Ln Suite 302 Carrollton TX 75007-5400 |
| Mailing Address |
2220 Canton St Apt 211 Dallas TX 75201-5932 |
| Practice Telephone | 8329692784 |
| Mailing Telephone | 8329692784 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | DR. REGINALD JAMES NEWSOME (CEO) |
| Authorized Official Telephone | 8329692784 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
M8869 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2710 N JOSEY LN SUITE 302 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578532420 | Cornerstone Chiropractic Pa | Chiropractor | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2006-03-14 |
| 1770022345 | Pi-metrics LLC | Clinic/Center | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2017-02-15 |
| 1255761045 | Procare Group Inc. | Chiropractor | 2710 N Josey Ln, #302, Carrollton, TX 75007-5400 | 2013-11-15 |
| 1750659322 | Integrated Medical Practice Pa | Pain Medicine | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2011-12-09 |
| 1396999256 | Jerry T Holubec Do, Pa | Pain Medicine | 2710 N Josey Ln, Ste 301, Carrollton, TX 75007-5400 | 2008-11-05 |
| 1295704724 | Ryan Neil Bass | Chiropractor | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2006-03-16 |
| 1558330084 | Sandra M Powers | Chiropractor | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| Find all providers in zip 75007 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730117599 | Timothy Uselton | Physical Medicine & Rehabilitation | 3008 E. Hebron Parkway, Building 500, Carrollton, TX 75010 | 2006-06-29 |
| 1285282269 | Trinity Rehab Services | Physical Medicine & Rehabilitation | 3008 E Hebron Pkwy Bldg 500, Carrollton, TX 75010-4470 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
| 1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
| 1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
| 1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
| 1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
| 1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
| 1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
| 1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
Please comment or provide details below to improve the information on ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION).
| 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.