Individual provider Active NPI

Cecilia Marie Estrada

  • Physical Therapist
  • Bellaire, TX
National Provider Identifier
1386498640
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1197658 Issued in TX
Practice address
4950 Terminal St Ste 100
Bellaire, TX 77401-6012
Phone
(832) 307-0894
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 1197658 TX Primary

Addresses

Primary practice location

4950 Terminal St Ste 100
Bellaire, TX 77401-6012

Mailing address

4318 Sorsby Dr
Houston, TX 77047-1163
Phone (832) 545-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508002996 TX Practitioner - Physical Therapist in Private Practice 7012358054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

4950 Terminal St
Suite 100
Bellaire, TX 77401-6012
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

4950 Terminal St
Bellaire, TX 77401
Phone (832) 307-0894

16742 Southwest Fwy
Sugar Land, TX 77479
Phone (832) 307-0894

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1386498640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 SORSBY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471163",
            "telephone_number": "832-545-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 TERMINAL ST STE 100",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774016012",
            "telephone_number": "832-307-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "CECILIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1197658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.