Active NPI
Jonathan Houle, PT, DPT
- Physical Therapist
- Trinity, FL
National Provider Identifier
1386163855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36604
- Practice address
- 10015 Trinity Blvd
Trinity, FL 34655-4589 - Phone
- (727) 203-3760
- NPI assigned
- Sep 15, 2017
- Last updated
- Mar 17, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36604 | FL | Primary |
| Athletic Trainer | 2255A2300X | 2000015008 | FL |
Addresses
Primary practice location
10015 Trinity Blvd
Trinity, FL 34655-4589
Mailing address
8103 Royal Hart Dr
New Port Richey, FL 34653-5054
Phone (727) 514-9376
Other practice location 1
3001 Eastland Blvd Ste 3B
Clearwater, FL 33761-4104
Phone (727) 797-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000015008 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visitry Florida LLC | Single Specialty | Current | Accepting new patients |
| C.H.O.O.S.E. Physical Therapy LLC | Single Specialty | Past | Accepting new patients |
Locations
802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783
Organizations & group practices 2
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": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1386163855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8103 ROYAL HART DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535054",
"telephone_number": "727-514-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 TRINITY BLVD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554589",
"telephone_number": "727-203-3760"
}
],
"practiceLocations": [
{
"address_1": "3001 Eastland Blvd Ste 3B",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337614104",
"country_code": "US",
"telephone_number": "727-797-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOULE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36604",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "2000015008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.