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

Jimmy Alphonse Chamberlain

Individual provider Occupational Therapist · NPI 1275928228

Jimmy Alphonse Chamberlain is an Occupational Therapist in Private Practice in Longview, Texas. Qualified in 2014, 12 years ago. Practices with Bespoke Rehabilitation LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

5015 Rustic Oak Dr
Longview, TX 75604-8202
Phone: (903) 445-4064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 116665 (TX)

Record details

NPI number1275928228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address5015 Rustic Oak Dr, Longview, TX 75604-8202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bespoke Rehabilitation Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longview