Individual provider Active NPI

Shean Nicole Caballero Jacot

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1114796182
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407755 Issued in TX
Practice address
6700 Hollister St
Houston, TX 77040-5331
Phone
(713) 718-9168
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1407755 TX Primary
Physical Therapist 225100000X 013572 CT

Addresses

Primary practice location

6700 Hollister St
Houston, TX 77040-5331

Mailing address

6700 Hollister St
Houston, TX 77040-5331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003084 CT Practitioner - Physical Therapist in Private Practice 8527401330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013572CTMDPhysical Therapist
1407755TXMDPhysical Therapist
13572CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT of Connecticut PLLC Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
Medical Care Innovation, P.C. Past Accepting new patients

Locations

499 Westport Ave
#B
Norwalk, CT 06851
Phone (475) 470-0400

804 E Main St
Stamford, CT 06902
Phone (203) 443-8778

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 2

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1114796182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 HOLLISTER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 HOLLISTER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405331",
            "telephone_number": "713-718-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOT",
        "first_name": "SHEAN NICOLE",
        "middle_name": "CABALLERO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407755",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "013572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.