Organization Active NPI

Wilcrest Physical Therapy, PC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1124358353
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1026292 Issued in TX
Legal business name
WILCREST PHYSICAL THERAPY, PC
Practice address
11589 S Wilcrest Dr
Houston, TX 77099-4752
Phone
(281) 575-8288
Fax
(281) 575-6833
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mrs. Jean W Lin, PTNPI 1285747568
Title
Owner
Phone
(281) 575-8288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1026292 TX Primary

Addresses

Primary practice location

11589 S Wilcrest Dr
Houston, TX 77099-4752

Mailing address

11589 S Wilcrest Dr
Houston, TX 77099-4752
Phone (281) 575-8288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100427000745 TX Part B Supplier - Clinic/Group Practice 0042347817 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6100 Corporate Dr
Ste 375
Houston, TX 77036
Phone (281) 575-8288

11589 S Wilcrest Dr
Houston, TX 77099
Phone (281) 575-8288

9889 Bellaire Blvd
Ste 250
Houston, TX 77036
Phone (713) 773-2890

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1124358353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11589 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-575-8288",
            "fax_number": "281-575-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11589 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "281-575-8288",
            "fax_number": "281-575-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCREST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-575-8288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1026292",
            "primary": true
        }
    ],
    "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 Jan 11, 2010; 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.