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PAIN RECOVERY CENTER OF TYLER
NPI 1154577641
Physical Medicine & Rehabilitation - Pain Medicine in Tyler, TX

Active since August 15, 2008
4295 KINSEY DR, TYLER, TX 75703(903) 526-5000(903) 526-5006 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Recovery Center Of Tyler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN RECOVERY CENTER OF TYLER (NPI 1154577641) is a healthcare organization registered as a pain medicine in Tyler, Texas and active in the NPI registry since August 2008. The organization lists Kenneth Fults, President, as its authorized official.

NPPES Registry Identity

NPI1154577641
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameHEALTHPORT P.A.
Location Address4295 KINSEY DRTyler, TX 75703-1004
Mailing Address4295 Kinsey DrTyler, TX 75703-1004 · (903) 526-5000 · Fax (903) 526-5006
Phone(903) 526-5000
Fax(903) 526-5006
Organization SubpartNo
Authorized OfficialKenneth FultsPresident · (903) 526-5000
Enumeration DateAugust 15, 2008
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1154577641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
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.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
4295 KINSEY DR, Tyler, TX 75703
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Other Names 1

Doing Business AsPain Recovery Center Of Tyler

Other Identifiers 3

Medicare PIN0A3444TX
Other0066SGTX · Bcbs
Medicaid208679501TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISBELL CHIROPRACTIC
Chiropractor
4295 KINSEY DR
TYLER, TX 75703
Smith County (903) 526-5000
DR. JANINE COLES ISLAM M.D.
Physical Medicine & Rehabilitation
4295 KINSEY DR
TYLER, TX 75703
Smith County (903) 526-5000
MR. LARRY R ISBELL DC
Chiropractor (Rehabilitation)
4295 KINSEY DR
TYLER, TX 75703
Smith County (903) 526-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthport P.A.'s NPI number?

The NPI number for Healthport P.A. is 1154577641. It was assigned to this organization in the NPPES registry on August 15, 2008. The provider is doing business as Pain Recovery Center Of Tyler.

Where is Healthport P.A. located?

Healthport P.A. is located at 4295 Kinsey Dr, Tyler, TX 75703. The listed phone number is (903) 526-5000.

What is Healthport P.A.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Healthport P.A. was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.