WEST TEXAS REGENERATIVE MEDICINE CLINIC (NPI# 1750654984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750654984 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS REGENERATIVE MEDICINE CLINIC |
| Practice Address |
1701 5th Ave Ste A Canyon TX 79015-3834 |
| Mailing Address |
3501 S Soncy Ste 1001 Amarillo TX 79119-3834 |
| Practice Telephone | 8066554878 |
| Practice Fax Number | 8066558790 |
| Mailing Telephone | 8063678719 |
| Mailing Fax Number | 8064184329 |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | KEITH E DYER (OWNER-PROVIDER) |
| Authorized Official Telephone | 8063678719 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | K5914 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1701 5TH AVE STE A |
| City | CANYON |
| State | TX |
| Zip Code | 79015-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295915049 | Russell Ronald Kershen | Chiropractor | 1701 5th Ave, Canyon, TX 79015-3834 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194195826 | Melani Kelly | Specialist/Technologist | 702 3rd Avenue, Canyon, TX 79015 | 2015-10-07 |
| 1063846111 | Erin Ann Park | Physical Medicine & Rehabilitation | 907 23rd St., Canyon, TX 79015 | 2013-08-26 |
| 1003177197 | True Blessings LLC | Home Health | 1317 4th Avenue, Canyon, TX 79015 | 2012-06-05 |
| 1245460625 | Gloria Lewis | Nurse Practitioner | 1619 4th Ave, Canyon, TX 79015 | 2009-07-21 |
| 1376669861 | Assisted Living Concepts Inc | Assisted Living Facility | 2 Cottonwood Lane, Canyon, TX 79015 | 2007-03-22 |
| 1376568642 | D'aun Chrie Bowers | Emergency Medicine | 500 20th St, Canyon, TX 79015 | 2006-07-13 |
| 1760931497 | Kershen Health Services | Physical Therapist | 1613 4th Ave, Canyon, TX 79015 | 2016-09-22 |
| 1568730034 | Katherine Sheri Rogers | Physical Therapist | 15 Hospital Drive, Canyon, TX 79015 | 2011-12-12 |
| 1437273158 | Tommy W Brian I | Nurse Practitioner | 911 23rd St, Canyon, TX 79015 | 2007-03-19 |
| 1194377754 | Emily Collins | Occupational Therapist | 18 Case Ln, Canyon, TX 79015-1796 | 2019-07-14 |
| Find all providers in zip 79015 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063846111 | Erin Ann Park | Physical Medicine & Rehabilitation | 907 23rd St., Canyon, TX 79015 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708286 | Christopher Plumos Macasio | Physical Medicine & Rehabilitation | 1912 Mimosa Dr, Corsicana, TX 75110-2094 | 2020-10-19 |
| 1922606367 | Regen Med Pllc | Physical Medicine & Rehabilitation | 4101 Greenbriar Dr Ste 200, Houston, TX 77098-5244 | 2020-10-16 |
| 1871190181 | Memory Rehabilitation Specialist Pllc | Physical Medicine & Rehabilitation | 9214 Clearwater Ranch Ln, Richmond, TX 77407-1700 | 2020-10-08 |
| 1679185383 | Zherina Siasico Bernardino-buenaventura | Physical Medicine & Rehabilitation | 6107 Verde Place Ln, Katy, TX 77493-2827 | 2020-08-24 |
| 1104438951 | Stephanie Dawn Coffey | Physical Medicine & Rehabilitation | 105 E Jessup St, Alvarado, TX 76009-3230 | 2020-08-21 |
| 1942812821 | All In All Neuro Rehab and Wellness LLC | Physical Medicine & Rehabilitation | 6913 Jessica Ct, North Richland Hills, TX 76182-3667 | 2020-08-20 |
| 1568073559 | Medicao Rehab, Pllc | Physical Medicine & Rehabilitation | 1201 Arbre Ln, Friendswood, TX 77546-4906 | 2020-08-12 |
| 1164040325 | Texas Manual Therapy Inc | Physical Medicine & Rehabilitation | 10121 Broadway St, San Antonio, TX 78217-4420 | 2020-07-13 |
| 1295359149 | Ohzone Medical Pllc | Physical Medicine & Rehabilitation | 4300 Macarthur Ave Ste 150, Dallas, TX 75209-6544 | 2020-06-05 |
| 1275154189 | Travel Rehab LLC | Physical Medicine & Rehabilitation | 8404 Warren Pkwy Apt 1334, Frisco, TX 75034-7084 | 2020-05-01 |
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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.