DAVID PENN (NPI# 1811958358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811958358 |
| Entity Type | Individual |
| Full Name | DAVID PENN |
| Credential | PT,DPT,OCS |
| Practice Address |
3202 4th St Ste 101 Longview TX 75605-5143 |
| Mailing Address |
4002 Technology Ctr Longview TX 75605-2697 |
| Practice Telephone | 9037536635 |
| Practice Fax Number | 9037531114 |
| Mailing Telephone | 9037536635 |
| Mailing Fax Number | 9037531114 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1068211 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 N Polk St, Jefferson, TX 756572131 | 9036652600 | 9036652608 |
| 908 Bomar St, Marshall, TX 756706108 | 9039353381 | 9039350985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644355 | David Ross Penn | Radiology | 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 | 2008-06-26 |
| 1477968485 | David Penn | Family Medicine | 4300 B St Ste 200, Anchorage, AK 99503-5933 | 2014-06-27 |
| 1992143812 | David Louis Penn | Neurological Surgery | 75 Francis St, Suite Ab-136, Boston, MA 02115-6110 | 2013-06-13 |
| 1265611875 | David J Penn | Internal Medicine | 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 | 2007-10-31 |
| 1982822540 | David Morgan Penn | Radiology | 2200 Nw 26th St, Mayo Clinic Health System, Owatonna, MN 55060-5503 | 2007-04-20 |
| 1578682241 | David J Penn | Physician Assistant | 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 | 2007-03-27 |
| 1215025929 | David L Penn | Psychologist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-10 |
| 1295775922 | David J Penn | Family Medicine | 211 E Main St, Carbondale, KS 66414-9607 | 2006-06-08 |
| Street Address |
3202 4TH ST STE 101 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747619 | Trenton Riley Carpenter | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605-5143 | 2019-06-05 |
| 1407281686 | Fernando Franklin Guison Talabis Jr. | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605-5143 | 2013-09-06 |
| 1578896908 | Jonathan Jett Tate | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605 | 2009-09-17 |
| 1588736052 | Jason Ward Hunt | Physical Therapist | 3202 4th St Ste 101, Longview, TX 75605-5143 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137947 | Victoria Gaugis | Physical Therapist | 709 Hollybrook Dr Ste 5603, Longview, TX 75605-2412 | 2019-01-09 |
| 1306326178 | Johanna Fourie | Physical Therapist | 1104 Seminole Ln, Longview, TX 75605-5746 | 2018-08-20 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1992195622 | Ester Koegelenberg | Physical Therapist | 10194 Martin Ln, Longview, TX 75605-4265 | 2015-02-03 |
| 1508254533 | Diana Neely | Physical Therapist | 2301 N 4th St, Longview, TX 75605-3152 | 2014-12-29 |
| 1316373970 | Daniel Bowman | Physical Therapist | 2133 Nichols Blvd, Longview, WA 98632-1803 | 2013-09-15 |
| 1942647375 | Alyssa A Root | Physical Therapist | 1015 Ocean Beach Hwy Ste 16, Longview, WA 98632-4098 | 2013-05-24 |
| 1336445600 | Tara Dene Copeland | Physical Therapist | 611 E Hawkins Pkwy, Longview, TX 75605-7977 | 2011-02-04 |
| 1982907846 | Erik Morolo Bell | Physical Therapist | 5907 W Marshall Ave, Longview, TX 75604-6011 | 2010-12-15 |
| 1598094989 | Rene Vest | Physical Therapist | 365 Honeysuckle Ln, Longview, TX 75605 | 2009-12-14 |
| Find all providers in LONGVIEW | ||||
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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.