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FALLEN TREE CORP
NPI 1841467727
General Practice in Manor, TX

Active since May 10, 2008CLIA 45D2255798 · Waiver
11416 RUNNEL RIDGE RD, MANOR, TX 78653(512) 760-0666(866) 265-1725 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 6, 2023, Jun 22, 2019, May 25, 2019 (3 updates tracked since 2019).

About Fallen Tree Corp NPPES

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

FALLEN TREE CORP (NPI 1841467727) is a healthcare organization registered as a general practice in Manor, Texas and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Peyton Thompson, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1841467727
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFALLEN TREE CORP
Location Address11416 RUNNEL RIDGE RDManor, TX 78653-3874
Mailing Address11416 Runnel Ridge RdManor, TX 78653-3874 · (512) 760-0666 · Fax (866) 265-1725
Phone(512) 760-0666
Fax(866) 265-1725
Organization SubpartNo
Authorized OfficialPeyton ThompsonOwner, President · (512) 760-0666
Enumeration DateMay 10, 2008
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
✔ NPI 1841467727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · D9687
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License DD9687 (TX)
Also ListedFamily MedicineTaxonomy 207Q00000X · License DD9687 (TX)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
11416 RUNNEL RIDGE RD, Manor, TX 78653
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Other Identifiers 1

Medicaid197360401TX

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2255798

Fallen Tree Corp · Manor, TX
Active · expires Mar 16, 2028
CLIA Number45D2255798
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorMonette Schweitzer
Laboratory Phone(512) 522-2299
Laboratory LocationFallen Tree Corp11416 Runnel Ridge Rd, Manor, TX 78653
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. PEYTON THOMPSON MD
General Practice
11416 RUNNEL RIDGE RD
MANOR, TX 78653
Travis County (512) 760-0666

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 Fallen Tree Corp's NPI number?

The NPI number for Fallen Tree Corp is 1841467727. It was assigned to this organization in the NPPES registry on May 10, 2008.

Where is Fallen Tree Corp located?

Fallen Tree Corp is located at 11416 Runnel Ridge Rd, Manor, TX 78653. The listed phone number is (512) 760-0666.

What is Fallen Tree Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Fallen Tree Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2255798) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fallen Tree Corp was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.