Active NPI
Carlene Anita Truitt
- Physical Therapy Assistant
- Houston, TX
National Provider Identifier
1124507900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2069299
- Practice address
- 2101 Greenhouse Rd
Houston, TX 77084-6108 - Phone
- (281) 599-5540
- NPI assigned
- Aug 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2069299 | TX | Primary |
Addresses
Primary practice location
2101 Greenhouse Rd
Houston, TX 77084-6108
Mailing address
4914 Wilderness Glen CT
Katy, TX 77449-4593
Phone (832) 247-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069299 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534032000000",
"number": "1124507900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 WILDERNESS GLEN CT",
"city": "KATY",
"state": "TX",
"postal_code": "774494593",
"telephone_number": "832-247-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 GREENHOUSE RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770846108",
"telephone_number": "281-599-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUITT",
"first_name": "CARLENE",
"middle_name": "ANITA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-12",
"last_updated": "2018-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2069299",
"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 Aug 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.