Active NPI
Jorgeson F Lucero, PT
- Physical Therapist
- Kingwood, TX
National Provider Identifier
1366217333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1385892
- Practice address
- 1306 Kingwood Dr Ste E
Kingwood, TX 77339-3150 - Phone
- (281) 721-4023
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1385892 | TX | Primary |
Addresses
Primary practice location
1306 Kingwood Dr Ste E
Kingwood, TX 77339-3150
Mailing address
1110 Kingwood Dr Ste 245
Kingwood, TX 77339-3099
Phone (832) 292-7679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Kingwood Dr
Suite 245
Kingwood, TX 77339-3099
Phone (281) 721-4023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385892 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1110 Kingwood Dr
Ste 245
Kingwood, TX 77339
Phone (281) 721-4023
1306 Kingwood Dr
Ste E
Kingwood, TX 77339
Phone (281) 721-4023
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 and National Provider Directory roles.
-
- Geriatric Physical Therapist
- Kingwood, TX
- NPI 1770023756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1366217333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 KINGWOOD DR STE 245",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393099",
"telephone_number": "832-292-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 KINGWOOD DR STE E",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393150",
"telephone_number": "281-721-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "JORGESON",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1385892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.