Individual provider Active NPI

Jennifer Underwood Dansberry, P.T.

  • Pediatric Physical Therapist
  • Houston, TX
National Provider Identifier
1629261334
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1119774 Issued in TX
Practice address
13419 Golden Field Dr
Houston, TX 77059-2834
Phone
(281) 723-8417
NPI assigned
Aug 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1119774 TX Primary

Addresses

Primary practice location

13419 Golden Field Dr
Houston, TX 77059-2834

Mailing address

13419 Golden Field Dr
Houston, TX 77059-2834
Phone (281) 723-8417

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
1119774TXMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1629261334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 GOLDEN FIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592834",
            "telephone_number": "281-723-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 GOLDEN FIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592834",
            "telephone_number": "281-723-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBERRY",
        "first_name": "JENNIFER",
        "middle_name": "UNDERWOOD",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1119774",
            "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 Apr 9, 2013; 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.