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Jimmy Alphonse Chamberlain

Occupational Therapist β€’ Longview, TX

Active NPI 1275928228 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5015 Rustic Oak Dr
Longview, TX 756048202

Call 9034454064 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5015 Rustic Oak Dr

Longview, TX 756048202

Telephone 9034454064
Organization at the Same NPPES Address or Phone
Bespoke Rehabilitation, Llc Facility NPI 1679312011

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Bespoke Rehabilitation Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jimmy Chamberlain has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Longview and Texas

23 active clinicians are listed under Occupational Therapist with a practice address in Longview, TX (7,694 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 23 clinicians have the CMS telehealth indicator.

8.7% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-27
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES TX 116665

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20250709000200

Enrollment State Jurisdiction

TX

PECOS Control ID

9638683212

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Bespoke Rehabilitation Llc

5015 Rustic Oak Dr, Longview, TX 756048202

Bespoke Rehabilitation Llc

5015 Rustic Oak Dr, Longview, TX 756048202

Phone: 9034454064

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 01, 2024

Registered at 5015 RUSTIC OAK DR, LONGVIEW, TX 756048202 (Tel: 9034454064)

πŸ“
Updated Business Mailing Address August 01, 2024

Registered at 5015 RUSTIC OAK DR, LONGVIEW, TX 756048202 (Tel: 9034454064)

βœ…
NPI Profile Active April 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 06, 2015

Registered at 1920 OLD SPRINGVILLE RD, CENTER POINT, AL 352155858 (Tel: 8008544589)

πŸ“
Business Mailing Address (Initial Record) April 06, 2015

Registered at 1920 OLD SPRINGVILLE RD, CENTER POINT, AL 352155858 (Tel: 8008544589)

πŸ‘€
Provider Name / Credentials (Initial Record) April 06, 2015

Recorded as JIMMY CHAMBERLAIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2015

Occupational Therapist (license number reported to NPPES: TX 116665)

🟒
Initial NPI Registration & Enumeration April 06, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275928228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2015
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

5015 Rustic Oak Dr

Longview, TX 756048202

Phone: 9034454064

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.