Individual provider Active NPI

Jordaine-Faith Obligacion Enriquez, PT, DPT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1255093472
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1352962 Issued in TX
Practice address
2637 Lazy Bend St Ste 101
Pearland, TX 77581-1007
Phone
(281) 485-4144
NPI assigned
Oct 6, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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 1352962 TX Primary

Addresses

Primary practice location

2637 Lazy Bend St Ste 101
Pearland, TX 77581-1007

Mailing address

3326 Summerwood LN
Pearland, TX 77584-8115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105001662 TX Practitioner - Physical Therapist in Private Practice 4587053947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theraworks IncGroup PAC ID 9133039647, 36 clinicians

Practice addresses (Care Compare)

2637 Lazy Bend St
Suite 101
Pearland, TX 77581-1007
Phone (281) 485-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Oct 1, 2021 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

3050 Dowlen Rd
Ste L
Beaumont, TX 77706
Phone (409) 861-4606

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

2637 Lazy Bend St
Ste 101
Pearland, TX 77581
Phone (281) 485-4144

6807 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591
Phone (409) 935-2840

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 7

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1255093472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 SUMMERWOOD LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 LAZY BEND ST STE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775811007",
            "telephone_number": "281-485-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JORDAINE-FAITH",
        "middle_name": "OBLIGACION",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1352962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.