Jerred Shane Donohoo, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2156850 Issued in TX

Practice address

9235 N Highway 146
Mont Belvieu, TX 77523-7876

Phone

(832) 307-7966

Fax

(832) 307-7964

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cabatherapy Services

  dba Physio

  • Physical Therapist
  • Baytown, TX
  • NPI 1972631760
  NPD
• Caba Therapy Services

  dba Rehabilitation Services of Baytown and Liberty

  • Physical Therapist
  • Baytown, TX
  • NPI 1548338528
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1760099212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201662",
            "telephone_number": "281-424-7557",
            "fax_number": "281-424-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 N HIGHWAY 146",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237876",
            "telephone_number": "832-307-7966",
            "fax_number": "832-307-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHOO",
        "first_name": "JERRED",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2156850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chambers Community Health Centers, Inc.
• City of Mont Belvieu (Mont Belvieu Fire Department)
• Damien & Lershoniter
• Damien Williams
• Becca Dehoyos
• Eagle Family Vision, Inc
• Emma Ann Edwards, DC
• Dania Lynn El-Shaar, DMD, MPH
• Elite Dental of Mont Belvieu PLLC
• Emprise Network LLC (Mont Belvieu Urgent Care)

• Physical Therapy Assistant in Mont Belvieu, TX
• Providers in Mont Belvieu, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.