Individual provider Active NPI

Sheik Bacchus

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1508138215
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
20333 State Highway 249 Ste 200
Houston, TX 77070-2613
Phone
(281) 748-9088
Fax
(866) 240-5731
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 Primary

Addresses

Primary practice location

20333 State Highway 249 Ste 200
Houston, TX 77070-2613

Mailing address

20333 State Highway 249 Ste 200
Houston, TX 77070-2613
Phone (281) 748-9088

Other practice location 1

20817 Sunshine Ln
Spring, TX 77388-4838
Phone (281) 748-9088

Other practice location 2

17215 Red Oak Dr Ste 102
Houston, TX 77090-2611
Phone (281) 748-9088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910002855 TX Practitioner - Physical Therapist in Private Practice 2062741440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Post Therapy LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Reliant Pro Rehab LLC Physical Therapist PastSince Apr 24, 2022 Accepting new patients

Locations

8008 Ashlane Way
Ste 120
The Woodlands, TX 77382
Phone (281) 914-4679

Interoperability endpoints

  • Direct secure messaging: sheik.bacchus.1@13131.direct.athenahealth.com

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1508138215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 STATE HIGHWAY 249 STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702613",
            "telephone_number": "281-748-9088",
            "fax_number": "866-240-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 STATE HIGHWAY 249 STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702613",
            "telephone_number": "281-748-9088",
            "fax_number": "866-240-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20817 Sunshine Ln",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773884838",
            "country_code": "US",
            "telephone_number": "281-748-9088",
            "fax_number": "866-240-5731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17215 Red Oak Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902611",
            "country_code": "US",
            "telephone_number": "281-748-9088",
            "fax_number": "866-240-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "SHEIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.