Active NPI
Jeannette E. Burg
- Clinic/Center
- Humble, TX
National Provider Identifier
1790793859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 261QR0400X
- Practice address
- 9810 FM 1960 Bypass Rd W
# 190
Humble, TX 77338-3522 - Phone
- (281) 446-0371
- Fax
- (281) 446-4299
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100283 | TX | |
| Clinic/Center | 261Q00000X | 261QR0400X | TX | Primary |
Addresses
Primary practice location
9810 FM 1960 Bypass Rd W
# 190
Humble, TX 77338-3522
Mailing address
1707 South Blvd
Houston, TX 77098-5419
Phone (713) 526-4997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261QR0400X | TX | MD | Physical Therapy Assistant |
| 100283 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeannette E. Burg | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Humble, TX
- NPI 1467488502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1790793859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 SOUTH BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770985419",
"telephone_number": "713-526-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9810 FM 1960 BYPASS RD W",
"address_2": "# 190",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383522",
"telephone_number": "281-446-0371",
"fax_number": "281-446-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "JEANNETTE",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "100283",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "261QR0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.