Roel Soberano Pecson, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1190236 Issued in TX

Practice address

4226 Cedar Bend Dr
Missouri City, TX 77459-4586

Phone

(832) 766-8301

NPI assigned

Jun 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excell PT IncGroup PAC ID 1355798653, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excell PT Inc

  • Physical Therapist
  • Frisco, TX
  • NPI 1063291441
  Medicare reassignment Care Compare group
• Baylor College of Medicine

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664
  Medicare reassignment NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment NPD
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1104502541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 CEDAR BEND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594586",
            "telephone_number": "832-766-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 CEDAR BEND DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594586",
            "telephone_number": "832-766-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECSON",
        "first_name": "ROEL",
        "middle_name": "SOBERANO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1190236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Peavy Mays, PSYD, PLP, LPC-S
• Pecan Pharmacy
• Christian Peccora, M.D.
• Dwight Daniel Peccora, D.D.S.
• Orlando P Peccora, M.D.
• Pediatric Anesthesia Partners, PLLC
• Pediatric Smile Specialists PLLC
• Pediatric Surgical Specialists, PLLC
• Pediatric Urology DPC PLLC
• James Matthew Peeples, PTA

• Physical Therapist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.