Individual provider Active NPI

Jerica Lae'L Williams, PT, DPT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1134867898
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1359253 Issued in TX
Practice address
21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519
Phone
(281) 398-8235
Fax
(281) 398-8246
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1359253 TX Primary

Addresses

Primary practice location

21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519

Mailing address

21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519
Phone (281) 398-8235

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PTJerica@1stclassenpt.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027000940 TX Practitioner - Physical Therapist in Private Practice 7810343829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Therapy Centers Limited PartnershipGroup PAC ID 3779493630, 17 clinicians

Practice addresses (Care Compare)

21211 FM 529 Rd
Suite 102
Cypress, TX 77433-6851
Phone (832) 295-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1359253TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Oct 23, 2023 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Oct 23, 2023 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
1St Classen Physical Therapy , PLLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

21211 FM 529 Rd
Ste 102
Cypress, TX 77433
Phone (832) 295-0650

633 E Fernhurst Dr
Ste 803
Katy, TX 77450
Phone (281) 435-5732

2840 Commercial Center Blvd
Ste 103
Katy, TX 77494
Phone (281) 693-1063

21707 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 398-8235

Organizations & group practices 4

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1134867898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502519",
            "telephone_number": "281-398-8235",
            "fax_number": "281-398-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502519",
            "telephone_number": "281-398-8235",
            "fax_number": "281-398-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JERICA",
        "middle_name": "LAE'L",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1359253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PTJerica@1stclassenpt.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "633 E Fernhurst Dr Ste 803",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774501587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.