Organization Active NPI

Crockett Therapy Services

  • Physical Therapist
  • Crockett, TX
National Provider Identifier
1003832114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CROCKETT THERAPY SERVICES
Practice address
407 Gossett Ave
Crockett, TX 75835-1507
Phone
(936) 545-2044
Fax
(936) 546-0021
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Howard (Chip) Jarrett
Title
President
Phone
(800) 747-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

407 Gossett Ave
Crockett, TX 75835-1507

Mailing address

407 Gossett Ave
Crockett, TX 75835-1507
Phone (936) 545-2044

Other identifiers 1

IdentifierTypeStateIssuer
0063DSOtherTXBCBS OF TX PROVIDER #

National Provider Directory

National Provider Directory

Locations

1402 N Loop 336 W
Conroe, TX 77304
Phone (936) 539-3300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003832114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GOSSETT AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351507",
            "telephone_number": "936-545-2044",
            "fax_number": "936-546-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 GOSSETT AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351507",
            "telephone_number": "936-545-2044",
            "fax_number": "936-546-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "HOWARD  (CHIP)",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-747-2933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "0063DS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.