Individual provider Active NPI

Ron E London

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1295021681
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14405 Walters Rd
Houston, TX 77014-1337
Phone
(832) 541-0963
NPI assigned
Jun 23, 2011
Reactivated
Aug 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 Primary

Addresses

Primary practice location

14405 Walters Rd
Houston, TX 77014-1337

Mailing address

5010 Algernon Dr
Spring, TX 77373-6973

Other practice location 1

1640 Redstone Center Dr
Ste 200
Park City, UT 84098-7605
Phone (888) 800-8744

Other identifiers 1

IdentifierTypeStateIssuer
5010MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000833 TX Practitioner - Physical Therapist in Private Practice 4880011550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Choice Physical Therapy, PLLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

16770 Imperial Valley Dr
Ste 126
Houston, TX 77060
Phone (800) 583-5341

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1295021681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 ALGERNON DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773736973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141337",
            "telephone_number": "832-541-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Redstone Center Dr",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840987605",
            "country_code": "US",
            "telephone_number": "888-800-8744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "RON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "deactivation_date": "2011-07-22",
        "reactivation_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.