Individual provider Active NPI

Jessie Anne Perry

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1366279606
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1398804 Issued in TX
Practice address
1033 La Posada Dr Ste 170
Austin, TX 78752-3842
Phone
(806) 780-2329
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 1398804 TX Primary

Addresses

Primary practice location

1033 La Posada Dr Ste 170
Austin, TX 78752-3842

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241003003718 TX Practitioner - Physical Therapist in Private Practice 2860923679 Reassigns benefits to 1 organization
I20251210003154 MI Practitioner - Physical Therapist in Private Practice 2860923679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

1033 La Posada Dr
Suite 170
Austin, TX 78752-3842
Phone (512) 284-7192

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Dec 4, 2025 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

9751 E Grand River Ave
Ste 1
Portland, MI 48875
Phone (517) 376-3650

1033 La Posada Dr
Ste 170
Austin, TX 78752
Phone (512) 284-7192

3202 W Anderson Ln
Ste 202
Austin, TX 78757
Phone (512) 351-3263

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Organizations & group practices 3

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1366279606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 170",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "806-780-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1398804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.