Jordan Vincent, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1350189 Issued in TX

Practice address

5150 Crenshaw Rd Ste D100
Pasadena, TX 77505-3095

Phone

(713) 943-1100

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.vincent.1@15533.direct.athenahealth.com

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.

• Legacy Beach Therapies LLC

  • Physical Therapy Clinic/Center
  • Nolanville, TX
  • NPI 1417664541

  Physical Therapist

  Medicare reassignment NPD
• Texas Physical Therapy Specialists, Inc.

  dba Texas Physical Therapy Specialists

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  Medicare reassignment
• Advanced Functional Assessments Inc

  dba C Foster and Associates

  • Physical Therapy Clinic/Center
  • Pasadena, TX
  • NPI 1053318840
  NPD (past)
• Webster Surgical Specialty Hospital, LLC

  dba Memorial Hermann Houston Physicians' Hospital

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1285699835
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1154005510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CRENSHAW RD STE D100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053095",
            "telephone_number": "713-943-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CRENSHAW RD STE D100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053095",
            "telephone_number": "713-943-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JORDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1350189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilly Kunjunny Vidyasagaran, M.D.
• Villa and Serna Inc.
• Jeanette Villagomez, MA, CFY-SLP
• Joy Danielle Villarreal, M.A., L.P.C.
• Melany Villarreal, LMSW
• Vipul M. Patel, MD.,PA (Southmore Medical Clinic)
• Vision I Care Inc
• Visionworks, Inc. (Visionworks)
• Visionworks, Inc. (Visionworks)
• Vista Community Medical Center LLP (Surgery Specialty Hospitals of America Southeast Houston)

• Physical Therapist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.