Jill House, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1218167 Issued in TX

Practice address

20873 Eva St Ste C
Montgomery, TX 77356-1975

Phone

(936) 597-5323

Fax

(936) 597-8914

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jill Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1407105489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JILL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FACILITY NUMBER",
            "identifier": "00628Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PAGE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Supportive Services
• Kayla Megan Horacek
• Scott Alan Hortman, D.C.
• Shelley Tucker Hortman, M.S., CCC-SLP
• Hospital Docs PA
• Jordan Jessie Housley, DSW
• Houston Mobile Primary Care, PLLC
• Christine Howard, RN, IBCLC
• Jennifer Huber, PT
• Emmett Sterling Huff III, D.O.

• Physical Therapist in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.