Active NPI
Jerome Allen Jr., PERSONAL TRAINER
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Houston, TX
National Provider Identifier
1760099824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- 1170068411
- Practice address
- 7324 Southwest Fwy Ste 325
Houston, TX 77074-2058 - Phone
- (832) 930-2970
- NPI assigned
- Sep 23, 2020
- Last updated
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 1170068411 | NU | Primary |
Addresses
Primary practice location
7324 Southwest Fwy Ste 325
Houston, TX 77074-2058
Mailing address
6520 Broadway St Apt 322
Pearland, TX 77581-7720
Phone (228) 229-0156
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Free Movement L.L.C | Current | Accepting new patients |
Locations
7324 Southwest Fwy
Ste 325
Houston, TX 77074
Phone (713) 771-7990
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Houston, TX
- NPI 1215544390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1760099824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 BROADWAY ST APT 322",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817720",
"telephone_number": "228-229-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7324 SOUTHWEST FWY STE 325",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742058",
"telephone_number": "832-930-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JEROME",
"name_suffix": "Jr.",
"credential": "PERSONAL TRAINER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NU",
"license": "1170068411",
"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 Sep 23, 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.