Active NPI
Jeremy Deville
- Physical Therapist
- Houston, TX
National Provider Identifier
1134830672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2121437
- Practice address
- 7789 Southwest Freeway
Medical Plaza 4 Suite 570
Houston, TX 77074 - Phone
- (713) 456-5221
- NPI assigned
- Dec 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 2121437 | TX | Primary |
Addresses
Primary practice location
7789 Southwest Freeway
Medical Plaza 4 Suite 570
Houston, TX 77074
Mailing address
13022 Nantucket Dr
Sugar Land, TX 77478-6008
Phone (225) 250-9505
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 |
|---|---|---|---|
| 2121437 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1134830672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13022 NANTUCKET DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774786008",
"telephone_number": "225-250-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7789 SOUTHWEST FREEWAY",
"address_2": "MEDICAL PLAZA 4 SUITE 570",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77074",
"telephone_number": "713-456-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLE",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "2121437",
"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 Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.