NPI age
6 years
Enumerated 2020-03-01
● Active Type 2 · Organization
Mobile Spine Specialist Llc
Mobile Spine Specialist Llc is 1 of 1225 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lum
Physical Therapist/owner
Last NPPES update
2020-11-20
Source: monthly bulk 2026-05
How this organization compares
Across 1225 active clinic/center providers in Texas.
NPI age
6 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
601 Quail Valley Dr
Georgetown, TX 786268051
Mailing address
601 Quail Valley Dr
Georgetown, TX 786268051
Authorized official
Jeffrey Lum, PT, MPT, DIP. MDT
Physical Therapist/owner
📞 5125596551
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Renda Holladay, APRN, PMHNP-BC Nurse Practitioner NPI 1235321696
- Jeffrey Lum, PT, MPT, DIP MDT Physical Therapist NPI 1104069913
- Michelle Soares, LMSW Social Worker NPI 1992665913
- Shieeda Ward, M.S., CCC-SLP Speech-Language Pathologist NPI 1992181648
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mobile Spine Specialist
-
Mobile Spine Specialist
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.