Individual provider Active NPI

Jacob Girlinghouse, PT, DPT

  • Physical Therapist
  • Mesquite, TX
National Provider Identifier
1609200062
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1233832 Issued in TX
Practice address
4928 Samuell Blvd
Mesquite, TX 75149-1027
Phone
(214) 328-1400
Fax
(214) 328-2884
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 1233832 TX Primary

Addresses

Primary practice location

4928 Samuell Blvd
Mesquite, TX 75149-1027

Mailing address

507 N Highway 77
Suite 700
Waxahachie, TX 75165-1885
Phone (972) 938-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1233832TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1609200062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N HIGHWAY 77",
            "address_2": "SUITE 700",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651885",
            "telephone_number": "972-938-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 SAMUELL BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491027",
            "telephone_number": "214-328-1400",
            "fax_number": "214-328-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRLINGHOUSE",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1233832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.