Active NPI
John W Houston, PT
- Physical Therapist
- Carriere, MS
National Provider Identifier
1235200304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1533
- Practice address
- 48 Camellia Rd
Carriere, MS 39426-7077 - Phone
- (601) 798-7777
- NPI assigned
- Nov 12, 2006
- Last updated
- Feb 6, 2020
- 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 | PT1533 | MS | Primary |
Addresses
Primary practice location
48 Camellia Rd
Carriere, MS 39426-7077
Mailing address
1620 Highway 11 N Ste E
Picayune, MS 39466-2070
Phone (769) 242-2626
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1533 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Assistive Technology Solutions, LLC | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brandon, MS
- NPI 1568555803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1235200304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 HIGHWAY 11 N STE E",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662070",
"telephone_number": "769-242-2626",
"fax_number": "769-242-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 CAMELLIA RD",
"city": "CARRIERE",
"state": "MS",
"postal_code": "394267077",
"telephone_number": "601-798-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carriere, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.