Active NPI
Jeri Lynn Houck, PT
- Physical Therapist
- Dunedin, FL
National Provider Identifier
1831567072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3765
- Practice address
- 1112 Pinehurst Rd
Dunedin, FL 34698-5427 - Phone
- (727) 734-1901
- Fax
- (727) 342-7335
- NPI assigned
- Sep 4, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3765 | FL | Primary |
Addresses
Primary practice location
1112 Pinehurst Rd
Dunedin, FL 34698-5427
Mailing address
1112 Pinehurst Rd
Dunedin, FL 34698-5427
Phone (727) 734-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 3765 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151110000478 | FL | Practitioner - Physical Therapist in Private Practice | 1759691462 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optimal Performance and Physical Therapies Trinity LLC
Practice addresses (Care Compare)
11157 Trinity Blvd
Trinity, FL 34655-4538
Phone (727) 645-4120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | Current | Accepting new patients |
Locations
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
11157 Trinity Blvd
Trinity, FL 34655
Phone (727) 645-4120
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.
-
- Physical Therapist
- Trinity, FL
- NPI 1144734591
FL, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1831567072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 PINEHURST RD",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985427",
"telephone_number": "727-734-1901",
"fax_number": "727-342-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 PINEHURST RD",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985427",
"telephone_number": "727-734-1901",
"fax_number": "727-342-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUCK",
"first_name": "JERI LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT 3765",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.