Individual provider Active NPI

Jeffry D Daniels, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1699141606
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1262880 Issued in TX
Practice address
12727 Kimberley LN Ste 104
Houston, TX 77024-4060
Phone
(713) 365-9338
Fax
(713) 365-9488
NPI assigned
Aug 13, 2015
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 1262880 TX Primary

Addresses

Primary practice location

12727 Kimberley LN Ste 104
Houston, TX 77024-4060

Mailing address

4971 Sweetwater Blvd
Sugar Land, TX 77479-3133
Phone (281) 277-1330

Other practice location 1

4971 Sweetwater Blvd
Sugar Land, TX 77479-3133
Phone (281) 277-1330

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1262880TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1699141606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793133",
            "telephone_number": "281-277-1330",
            "fax_number": "281-277-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244060",
            "telephone_number": "713-365-9338",
            "fax_number": "713-365-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4971 Sweetwater Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774793133",
            "country_code": "US",
            "telephone_number": "281-277-1330",
            "fax_number": "281-277-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JEFFRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1262880",
            "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 Aug 28, 2024; 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.