C Jones
Individual provider Active NPI Geriatric Physical Therapist · Sweeny, TX
NPI 1245476902 · NPPES record last updated Jan 10, 2012
Key facts
- NPI
- 1245476902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- Practice address
- 109 N McKinney St
Sweeny, TX 77480-3400 - Phone
- (443) 310-9611
- NPI assigned
- Dec 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20694 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Care Rehab&Nursing Services Inc | Geriatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Yes |
Addresses
Primary practice location
109 N McKinney St
Sweeny, TX 77480-3400
Mailing address
9164 Canterbury Riding
Laurel, MD 20723-1454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952422412 | Medicaid | TX |
Other providers in Sweeny, TX
- Richard Carlton Erickson
- Ethan Eddie Chambliss
- Andrea Kathleen Fenn
- George W Deleon MD PA
- Wilma Jeannette Hardesty
- K & S Mobile Labs
- Amy Lynn Keffer
- Jennifer L Kucera
- Erin Kujawski
- Courtney Marie Lamont
All providers in Sweeny, TX · Geriatric Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.