Individual provider Active NPI

Jonathan Houle, PT, DPT

  • Physical Therapist
  • Trinity, FL
National Provider Identifier
1386163855
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36604 Issued in FL
Practice address
10015 Trinity Blvd
Trinity, FL 34655-4589
Phone
(727) 203-3760
NPI assigned
Sep 15, 2017
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230315000828 FL Practitioner - Physical Therapist in Private Practice 0244604296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000015008FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Visitry Florida LLC Single Specialty CurrentSince Aug 22, 2024 Accepting new patients
C.H.O.O.S.E. Physical Therapy LLC Single Specialty PastSince Aug 23, 2010 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.

Verify at the official NPI Registry.