PORTIA PHILLIPS (NPI# 1659807287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659807287 |
| Entity Type | Individual |
| Full Name | PORTIA PHILLIPS |
| Practice Address |
2100 S Mobberly Ave Longview TX 75602-3564 |
| Practice Telephone | 9032333760 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2100 S MOBBERLY AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75602-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932598513 | Letourneau University | Family Medicine | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-20 |
| 1821622267 | Carlton Wendell Mitchell | Counselor | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2020-02-25 |
| 1144873415 | Brady Clinton Tomlin | Physical Medicine & Rehabilitation | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2019-07-16 |
| 1750774030 | Care First Physicians Pa | Family Medicine | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-03-11 |
| 1487044814 | Leeigh Ann Sudbury | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
| 1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
| 1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
| Find all providers in zip 75602 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598328221 | Blake Bussing | Specialist/Technologist | 170 Beemon Dr, Longview, WA 98632-9133 | 2019-04-18 |
| 1114397569 | Kara Lynn Knutson | Specialist/Technologist | 2770 Fm 2751, Longview, TX 75605-7209 | 2015-09-29 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1457565533 | Charles Lee Reynolds | Specialist/Technologist | 434 E Loop 281, Ste. 103, Longview, TX 75605-7932 | 2007-05-09 |
| 1366569154 | Daniel Huerta Ruiz | Specialist/Technologist | 1602 Mark Morris Ct, Longview, WA 98632-3926 | 2007-03-25 |
| 1417598129 | Amy Katherine Billingslea | Specialist/Technologist | 3101 Spring Hill Rd, Longview, TX 75605-2822 | 2019-10-03 |
| 1659863140 | Andrew Levi Skillett | Specialist/Technologist | 811 11th Ave, Longview, WA 98632-2462 | 2018-05-31 |
| 1487044814 | Leeigh Ann Sudbury | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-22 |
| 1114243037 | Doug Bloyd | Specialist/Technologist | 3133 Good Shepherd Way, Longview, TX 75605-7921 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PORTIA PHILLIPS.
| 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.