Individual provider Active NPI

Jennifer E Terry-Ockleberry, PT

  • Physical Therapist
  • Pflugerville, TX
National Provider Identifier
1164549804
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1126563 Issued in TX
Practice address
20817 Penny Royal Dr
Pflugerville, TX 78660-7761
Phone
(512) 251-0437
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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 1126563 TX Primary

Addresses

Primary practice location

20817 Penny Royal Dr
Pflugerville, TX 78660-7761

Mailing address

20817 Penny Royal Dr
Pflugerville, TX 78660-7761
Phone (512) 251-0437

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

LicenseStateTypeSpecialty
1126563TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1164549804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20817 PENNY ROYAL DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607761",
            "telephone_number": "512-251-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20817 PENNY ROYAL DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607761",
            "telephone_number": "512-251-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY-OCKLEBERRY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1126563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.