Individual provider Active NPI

Jessica Kay De Souza, PT

  • Physical Therapist
  • Mount Pleasant, TX
National Provider Identifier
1487688156
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1167953 Issued in TX
Practice address
400 S Madison Ave
Mt Pleasant, TX 75455-4456
Phone
(903) 577-3700
Fax
(903) 577-3701
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 1167953 TX Primary

Addresses

Primary practice location

400 S Madison Ave
Mt Pleasant, TX 75455-4456

Mailing address

PO Box 388
Mt Pleasant, TX 75456-0388
Phone (817) 706-8174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000632 TX Practitioner - Physical Therapist in Private Practice 0446259311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Outpatient Rehab Services, LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Mount Pleasant Physical Therapy PC Physical Therapist PastSince Sep 20, 2004 Accepting new patients

Locations

405 E Marshall St
Gilmer, TX 75644
Phone (903) 402-1052

1406 Shadywood Ln
Mt Pleasant, TX 75455
Phone (903) 572-6100

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1487688156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754560388",
            "telephone_number": "817-706-8174",
            "fax_number": "903-577-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MADISON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754554456",
            "telephone_number": "903-577-3700",
            "fax_number": "903-577-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "JESSICA",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.