Individual provider Active NPI

Theresa M Berbel, PT

  • Pediatric Physical Therapist
  • Houston, TX
National Provider Identifier
1336378256
Registry record updated Dec 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1067148 Issued in TX
Practice address
12777 Ashford Point Dr
Ste. 2801
Houston, TX 77082-5900
Phone
(832) 433-2585
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01212 TX
Pediatric Physical Therapist 2251P0200X 1067148 TX Primary

Addresses

Primary practice location

12777 Ashford Point Dr
Ste. 2801
Houston, TX 77082-5900

Mailing address

12777 Ashford Point Dr
Ste. 2801
Houston, TX 77082-5900
Phone (832) 433-2585

Other identifiers 2

IdentifierTypeStateIssuer
AC01212OtherTXTEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS
1067148OtherTXTEXAS PHYSICAL THERAPY LICENSE NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC01212TXMDAcupuncturist
1067148TXMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292025600000",
    "number": "1336378256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 ASHFORD POINT DR",
            "address_2": "STE. 2801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825900",
            "telephone_number": "832-433-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 ASHFORD POINT DR",
            "address_2": "STE. 2801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825900",
            "telephone_number": "832-433-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBEL",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2010-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01212",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1067148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS",
            "identifier": "AC01212",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "1067148",
            "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 Dec 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.