Individual provider Active NPI

Jessica Daniel, PT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1235327370
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1175691 Issued in TX
Practice address
6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone
(281) 364-1122
Fax
(281) 210-2446
NPI assigned
Oct 12, 2007
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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 1175691 TX Primary

Addresses

Primary practice location

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566

Mailing address

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Other identifiers 1

IdentifierTypeStateIssuer
1175691OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000367 TX Practitioner - Physical Therapist in Private Practice 3274837695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20639 Kuykendahl Rd
Suite 200
Spring, TX 77379-3587
Phone (832) 698-0111

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
67.43
Promoting interoperability
100
Improvement activities
40
Cost
69.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1175691TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC CurrentSince Jan 1, 2016 Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC CurrentSince Jan 1, 2016 Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Current Accepting new patients

Locations

20639 Kuykendahl Rd
Ste 200
Spring, TX 77379
Phone (832) 698-0111

6767 Lake Woodlands Dr
#F
The Woodlands, TX 77382
Phone (281) 364-1122

Interoperability endpoints

  • Direct secure messaging: jessica.daniel.1@1066.direct.athenahealth.com

Organizations & group practices 3

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1235327370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR",
            "address_2": "SUITE F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122",
            "fax_number": "281-210-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR",
            "address_2": "SUITE F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122",
            "fax_number": "281-210-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1175691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1175691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.