Jacqueline Renee Windle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1234840 Issued in TX

Practice address

4621 W Park Blvd
Ste 102
Plano, TX 75093-2318

Phone

(972) 985-1776

Fax

(972) 985-6088

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacqueline Renee Horner Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephenville Sports Rehab and Physical Therapy LLCGroup PAC ID 8123295706, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stephenville Sports Rehab & Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Weatherford, TX
  • NPI 1932291697

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1720411499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 W PARK BLVD",
            "address_2": "STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-985-1776",
            "fax_number": "972-985-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 W PARK BLVD",
            "address_2": "STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932318",
            "telephone_number": "972-985-1776",
            "fax_number": "972-985-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLE",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HORNER",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Windhaven Medical Imaging.LLC
• Windhaven Pediatrics, LLP
• Windhaven Surgery Center, LLC
• Kevin Merle Windisch, MD
• Karis Windle Carmona, LCSW
• Alyssa L Windom, AUD
• Winds Dialysis LLC
• McKenzie Winn, MS, CCC-SLP
• Cammie Winover, LCSW
• Violette Winslow

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.