Bespoke Rehabilitation, LLC
NPI 1679312011 · Physical Therapist · Longview, TX
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bespoke Rehabilitation, LLC is a Physical Therapist organization in Longview, TX (NPI 1679312011).
Provider details
- NPI number
- 1679312011
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jimmy Chamberlain, Ceo/Occupational Therapist(903) 445-4064
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bespoke Rehabilitation
- Former legal business name
- Bespoke Rehabilitation
Registry dates
- Enumerated
- 2024-05-24
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Frequently asked questions
- What is Bespoke Rehabilitation, LLC's NPI number?
- Bespoke Rehabilitation, LLC's National Provider Identifier (NPI) is 1679312011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bespoke Rehabilitation, LLC?
- Bespoke Rehabilitation, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bespoke Rehabilitation, LLC located?
- Bespoke Rehabilitation, LLC's practice location on file with NPPES is 5015 Rustic Oak Dr, Longview, TX 75604-8202.
- What is Bespoke Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bespoke Rehabilitation, LLC is (432) 258-8673.
- Does Bespoke Rehabilitation, LLC accept Medicare?
- Bespoke Rehabilitation, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bespoke Rehabilitation, LLC?
- The authorized official listed on Bespoke Rehabilitation, LLC's NPPES record is Jimmy Chamberlain, Ceo/Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bespoke Rehabilitation, LLC's NPI active?
- Yes — Bespoke Rehabilitation, LLC's NPI (1679312011) is active in the NPPES registry as of the last update on 2024-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.