Jacqueline Elaine Rice, PT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

1080406 Issued in TX

Practice address

10014 Edgeway Cir
Rowlett, TX 75089-8592

Phone

(317) 753-6311

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ageless Body, LLC Professional name

Electronic endpoints 1

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1447682091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 EDGEWAY CIR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898592",
            "telephone_number": "317-753-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 EDGEWAY CIR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898592",
            "telephone_number": "317-753-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Knoll Trail Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752482868",
            "country_code": "US",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "JACQUELINE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05006643A",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1080406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Agelessbodyllc@comcast.net",
            "affiliation": "N",
            "address_1": "10014 Edgeway Cir",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750898592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AGELESS",
            "last_name": "BODY, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Geriatric Physical Therapist in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Geriatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.