Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bespoke Rehabilitation, LLC

Organization Physical Therapist · NPI 1679312011

Bespoke Rehabilitation, LLC is a Physical Therapist in Longview, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5015 Rustic Oak Dr
Longview, TX 75604-8202
Phone: (432) 258-8673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1679312011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jimmy Chamberlain — Ceo/Occupational Therapist · (903) 445-4064
Other names Bespoke Rehabilitation; Bespoke Rehabilitation
NPI enumeratedMay 24, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address5015 Rustic Oak Dr, Longview, TX 75604-8202

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