Individual provider Active NPI

Annabelle Lucente Su, PT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1023713120
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
$$$$$$$$$ Issued in TX
Practice address
800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone
(832) 559-2900
Fax
(832) 559-2900
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X $$$$$$$$$ TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007

Mailing address

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone (832) 559-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812004671 TX Practitioner - Physical Therapist in Private Practice 8123526712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 30, 2025 Accepting new patients
Evolve Physical Therapy, LLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jun 30, 2025 Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

800 Bonaventure Way
Ste 167
Sugar Land, TX 77479
Phone (832) 559-2900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1023713120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900",
            "fax_number": "832-559-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900",
            "fax_number": "832-559-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "ANNABELLE",
        "middle_name": "LUCENTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.