MEDICARE: ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	M8869	TX

General Provider Information

NPI Number	:	1245649557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)

Provider Business Mailing Address
First Line	:	2220 CANTON ST APT 211
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-5932
Country	:	US
Telephone Number	:	832-969-2784
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 N JOSEY LN
Second Line	:	SUITE 302
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5400
Country	:	US
Telephone Number	:	832-969-2784
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. REGINALD JAMES NEWSOME
Credential	:	MD
Telephone Number	:	832-969-2784

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	08/12/2014

Similar Medicare Providers

1932052917 — MORGAN ALEXANDRA TROUT DPT, PT
Practice Location Address:

2710 N JOSEY LN STE 301
CARROLLTON, TX
75007-5400

Practice Phone: 469-701-9108
Practice Fax: 469-381-7134

1578532420 — CORNERSTONE CHIROPRACTIC PA
Practice Location Address:

2710 N JOSEY LN , SUITE 301
CARROLLTON, TX
75007-5400

Practice Phone: 214-483-3550
Practice Fax: 888-358-8913

1558330084 — DR. SANDRA M POWERS D.C.
Practice Location Address:

2710 N JOSEY LN , SUITE 301
CARROLLTON, TX
75007-5400

Practice Phone: 214-483-3550
Practice Fax: 888-358-8913

1396999256 — JERRY T HOLUBEC DO, PA
Practice Location Address:

2710 N JOSEY LN , STE 301
CARROLLTON, TX
75007-5400

Practice Phone: 469-916-0521
Practice Fax: 972-231-7095

1750659322 — INTEGRATED MEDICAL PRACTICE PA
Practice Location Address:

2710 N JOSEY LN , SUITE 301
CARROLLTON, TX
75007-5400

Practice Phone: 214-483-3550
Practice Fax:

1255761045 — PROCARE GROUP INC.
Practice Location Address:

2710 N JOSEY LN , #302
CARROLLTON, TX
75007-5400

Practice Phone: 214-483-3550
Practice Fax: 214-483-3551

Directions to “ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION) ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.