Individual provider Active NPI

Jaqueline Allen, PT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1639592850
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1231937 Issued in TX
Practice address
20403 University BLV. Ste. 100
Sugar Land, TX 77478
Phone
(281) 325-0188
Fax
(281) 325-0189
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 1231937 TX Primary

Addresses

Primary practice location

20403 University BLV. Ste. 100
Sugar Land, TX 77478

Mailing address

20403 University BLV. Ste. 100
Sugar Land, TX 77478
Phone (281) 325-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120000216 TX Practitioner - Physical Therapist in Private Practice 1052533445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye 96 LPGroup PAC ID 0446259675, 3 clinicians

Practice addresses (Care Compare)

20403 University Blvd
Suite 100
Sugar Land, TX 77478-4977
Phone (281) 325-0188

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye 96 LP Physical Therapist CurrentSince Oct 10, 2014 Accepting new patients

Locations

5765 Reading Rd
Rosenberg, TX 77471
Phone (281) 239-3838

20403 University Blvd
Ste 100
Sugar Land, TX 77478
Phone (281) 325-0188

Organizations & group practices 1

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1639592850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLV. STE. 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-325-0188",
            "fax_number": "281-325-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLV. STE. 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-325-0188",
            "fax_number": "281-325-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAQUELINE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1231937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.