EAST TEXAS SPINE INSTITUTE, PA
NPI 1992985394
Physical Medicine & Rehabilitation in Tyler, TX

Active since November 14, 2007CLIA 45D2002141 · Waiver
3110 PARK CENTER DR, TYLER, TX 75701(903) 593-9999(903) 526-4239 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Texas Spine Institute, Pa NPPES

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

EAST TEXAS SPINE INSTITUTE, PA (NPI 1992985394) is a healthcare organization registered as a physical medicine & rehabilitation in Tyler, Texas and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Ritesh R Prasad, Owner, as its authorized official.

NPPES Registry Identity

NPI1992985394
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameEAST TEXAS SPINE INSTITUTE, PA
Location Address3110 PARK CENTER DRTyler, TX 75701-9215
Mailing AddressPo Box 130940Tyler, TX 75713-0940 · (903) 593-9999 · Fax (903) 526-4239
Fax(903) 526-4239
Organization SubpartNo
Authorized OfficialRitesh R PrasadOwner · (903) 593-9999
Enumeration DateNovember 14, 2007
Last NPPES UpdateJune 11, 2012
NPI 1992985394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · K1283
Definition
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.
3110 PARK CENTER DR, Tyler, TX 75701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 45D2002141

East Texas Spine Institute · Tyler, TX
Active · expires Jan 6, 2028
CLIA Number45D2002141
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorRitesh Prasad
Laboratory Phone(903) 593-9999
Laboratory LocationEast Texas Spine Institute3110 Park Center Dr, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Speech-Language Pathologist
3110 PARK CENTER DR
TYLER, TX 75701
Counselor (Professional)
3110 PARK CENTER DR
TYLER, TX 75701
Speech-Language Pathologist
3110 PARK CENTER DR
TYLER, TX 75701
Nurse Practitioner (Family)
3110 PARK CENTER DR
TYLER, TX 75701
Physical Therapist
3110 PARK CENTER DR
TYLER, TX 75701
Preventive Medicine (Occupational Medicine)
3110 PARK CENTER DR
TYLER, TX 75701
Family Medicine
3110 PARK CENTER DR
TYLER, TX 75701
Counselor (Professional)
3110 PARK CENTER DR
TYLER, TX 75701

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 East Texas Spine Institute, PA's NPI number?

The NPI number for East Texas Spine Institute, PA is 1992985394. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is East Texas Spine Institute, PA located?

East Texas Spine Institute, PA is located at 3110 Park Center Dr, Tyler, TX 75701. The listed phone number is (903) 593-9999.

What is East Texas Spine Institute, PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does East Texas Spine Institute, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2002141) is associated with this NPI, valid through January 6, 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 East Texas Spine Institute, PA was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.