Individual provider Active NPI

Jennifer Wells McCauley, P.T.

  • Orthopedic Physical Therapist
  • Southlake, TX
National Provider Identifier
1386883478
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1295719 Issued in TX
Practice address
280 Commerce St Ste 115
Southlake, TX 76092-7544
Phone
(817) 912-1420
Fax
(817) 668-7640
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870977 DC
Orthopedic Physical Therapist 2251X0800X 37507 CA
Orthopedic Physical Therapist 2251X0800X 1295719 TX Primary

Addresses

Primary practice location

280 Commerce St Ste 115
Southlake, TX 76092-7544

Mailing address

280 Commerce St Ste 115
Southlake, TX 76092-7544
Phone (817) 912-1420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314000275 TX Practitioner - Physical Therapist in Private Practice 1254497555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Jandj Physical Therapy and WellnessGroup PAC ID 4486994209, 8 clinicians

Practice addresses (Care Compare)

1301 Solana Blvd
Suite 4109
Westlake, TX 76262-2078
Phone (817) 912-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT870977DCMDPhysical Therapist
37507CAMDOrthopedic Physical Therapist
1295719TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1386883478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COMMERCE ST STE 115",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927544",
            "telephone_number": "817-912-1420",
            "fax_number": "817-668-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COMMERCE ST STE 115",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927544",
            "telephone_number": "817-912-1420",
            "fax_number": "817-668-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "JENNIFER",
        "middle_name": "WELLS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870977",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "37507",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1295719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.