NPI age
17 years
Enumerated 2008-08-15
● Active Type 2 · Organization
Healthport P.A.
Healthport P.A. is 1 of 293 physical medicine & rehabilitation organizations in Texas.
Primary specialty
Physical Medicine & Rehabilitation
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fults
President
Last NPPES update
2013-01-07
Source: monthly bulk 2026-05
How this organization compares
Across 293 active physical medicine & rehabilitation providers in Texas.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 44% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4295 Kinsey Dr
Tyler, TX 757031004
Mailing address
4295 Kinsey Dr
Tyler, TX 757031004
Authorized official
Kenneth Fults, D.O.
President
📞 9035265000
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Larry Isbell, DC Chiropractor NPI 1407922057
- Janine Islam, M.D. Physical Medicine & Rehabilitation NPI 1336146794
Specialties
-
Physical Medicine & Rehabilitation PrimaryA physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be...
-
ChiropractorA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
-
Pain MedicineInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 208679501 | |
| 01 (TX) | 0066SG | BCBS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PAIN RECOVERY CENTER OF TYLER
Practice context
Multi-provider organization. 2 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.