Individual provider Active NPI

Jorgeson F Lucero, PT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1366217333
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1385892 Issued in TX
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

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231215002863 TX Practitioner - Physical Therapist in Private Practice 0042669038 Reassigns benefits to 1 organization

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
Next Level Physical Therapy IncGroup PAC ID 7618252644, 3 clinicians

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

LicenseStateTypeSpecialty
1385892TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy Inc. Physical Therapist CurrentSince Nov 20, 2023 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.

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.

Verify at the official NPI Registry.