Individual provider Active NPI

Craig Randall Perilloux, PT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1467495317
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1116135 Issued in TX
Practice address
605 Rockmead Drive
Suite 200
Kingwood, TX 77339
Phone
(281) 348-9588
Fax
(281) 348-2150
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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 1116135 TX Primary

Addresses

Primary practice location

605 Rockmead Drive
Suite 200
Kingwood, TX 77339

Mailing address

2414 Mills Creek Dr
Humble, TX 77339-3095
Phone (281) 358-7923

Other identifiers 1

IdentifierTypeStateIssuer
1116135OtherTXPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000485 TX Practitioner - Physical Therapist in Private Practice 1951211465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theraworks IncGroup PAC ID 9133039647, 36 clinicians

Practice addresses (Care Compare)

605 Rockmead Dr
Suite 200
Kingwood, TX 77339-2255
Phone (281) 348-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Physical Therapist Current Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Aug 4, 2003 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Select Physical Therapy Texas Limited Partnership CurrentSince Nov 1, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jul 21, 2025 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients

Locations

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

215 Kingwood Executive Dr
Ste 130
Kingwood, TX 77339
Phone (281) 358-4145

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

2637 Lazy Bend St
Ste 101
Pearland, TX 77581
Phone (281) 485-4144

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1467495317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 MILLS CREEK DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773393095",
            "telephone_number": "281-358-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ROCKMEAD DRIVE",
            "address_2": "SUITE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-348-9588",
            "fax_number": "281-348-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLOUX",
        "first_name": "CRAIG",
        "middle_name": "RANDALL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1116135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1116135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.