Individual provider Active NPI

John David Lerma, PT, DPT

  • Physical Therapist
  • Portland, TX
National Provider Identifier
1144045618
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1401846 Issued in TX
Practice address
114 Lang Rd
Portland, TX 78374-2654
Phone
(361) 643-8243
NPI assigned
Nov 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 1401846 TX Primary

Addresses

Primary practice location

114 Lang Rd
Portland, TX 78374-2654

Mailing address

5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone (361) 854-2278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002953 TX Practitioner - Physical Therapist in Private Practice 6305372285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humpal Physical Therapy, P.C.Group PAC ID 5597656751, 18 clinicians

Practice addresses (Care Compare)

114 Lang Rd
Portland, TX 78374-2654
Phone (361) 643-8243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humpal Physical Therapy, P.C. Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

5026 Deepwood Cir
Corpus Christi, TX 78415
Phone (361) 334-2317

4040 Five Points Rd
Corpus Christi, TX 78410
Phone (361) 241-7399

114 Lang Rd
#A
Portland, TX 78374

114 Lang Rd
Portland, TX 78374
Phone (361) 643-8243

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1144045618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 DEEPWOOD CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152901",
            "telephone_number": "361-854-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LANG RD",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742654",
            "telephone_number": "361-643-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1401846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.