Active NPI
Theresa M Berbel, PT
- Pediatric Physical Therapist
- Houston, TX
National Provider Identifier
1336378256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1067148
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC01212 | Other | TX | TEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS |
| 1067148 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01212 | TX | MD | Acupuncturist |
| 1067148 | TX | MD | Pediatric 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.