Individual provider Active NPI

Julia Wiggins, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1740892173
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1333988 Issued in TX
Practice address
4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466
Phone
(832) 968-7155
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 1333988 TX Primary

Addresses

Primary practice location

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466

Mailing address

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466
Phone (832) 968-7155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103001935 MI Practitioner - Physical Therapist in Private Practice 7214384866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Crawl Walk Jump Run Therapy Clinic LLCGroup PAC ID 5294747002, 13 clinicians

Practice addresses (Care Compare)

42850 Garfield Rd
Suite 103
Clinton Township, MI 48038-5026
Phone (586) 323-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1333988TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawl Walk Jump Run Therapy Clinic LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Crawl Walk Jump Run Therapy Clinic PastSince Nov 1, 2023 Accepting new patients
TCG Home Health LLC PastSince Aug 23, 2020 Accepting new patients

Locations

42850 Garfield Rd
Ste 103
Clinton Township, MI 48038
Phone (586) 263-0222

42804 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 323-2457

Organizations & group practices 3

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1740892173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1333988",
            "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 18, 2020; 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.