Individual provider Active NPI

Jayme Rae Pack, DPT

  • Physical Therapist
  • Cypress, TX
National Provider Identifier
1073267928
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1357143 Issued in TX
Practice address
13215 Grant Rd Ste 900
Cypress, TX 77429-4094
Phone
(832) 220-9211
Fax
(832) 610-2354
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 1357143 TX Primary

Addresses

Primary practice location

13215 Grant Rd Ste 900
Cypress, TX 77429-4094

Mailing address

13215 Grant Rd Ste 900
Cypress, TX 77429-4094
Phone (832) 220-9211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330001380 TX Practitioner - Physical Therapist in Private Practice 1153717236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Physical Therapy LTDGroup PAC ID 3375737422, 4 clinicians
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians
Lake Houston Physical Therapy Limited PartnershipGroup PAC ID 5294643680, 6 clinicians

Practice addresses (Care Compare)

102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884

28533 Spring Trails RDG
Suite 112
Spring, TX 77386-4355
Phone (281) 301-5090

7840 FM 1960
Suite 408 And409
Humble, TX 77346-2259
Phone (281) 812-6665

7840 FM 1960 E
Suite 409
Humble, TX 77346-2259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1357143TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Physical Therapy LTD Physical Therapist CurrentSince Aug 17, 2023 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Aug 17, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Aug 17, 2023 Accepting new patients
Lake Houston Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 17, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

102 N Travis Ave
Cleveland, TX 77327
Phone (281) 592-2884

15201 Mason Rd
Ste 800
Cypress, TX 77433
Phone (713) 609-9224

13215 Grant Rd
Ste 900
Cypress, TX 77429
Phone (832) 220-9211

26084 NW Freeway
Ste 140
Cypress, TX 77429
Phone (832) 349-1168

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

7840 FM 1960 Rd E
Ste 408
Humble, TX 77346
Phone (281) 812-6665

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

6318 FM 1488 Rd
Ste 150
Magnolia, TX 77354
Phone (936) 273-0808

18001 Highway 105 W
Ste 106
Montgomery, TX 77356
Phone (936) 582-2464

28533 Spring Trails Rdg
Ste 112
Spring, TX 77386
Phone (281) 301-5090

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 10

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1073267928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 GRANT RD STE 900",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294094",
            "telephone_number": "832-220-9211",
            "fax_number": "832-610-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 GRANT RD STE 900",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294094",
            "telephone_number": "832-220-9211",
            "fax_number": "832-610-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "JAYME",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1357143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.