Individual provider Active NPI

Jan Willem Laurens Ooms, PT

  • Physical Therapist
  • Pasadena, TX
National Provider Identifier
1841328341
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1140655 Issued in TX
Practice address
4301 Vista Rd
Suite 104B
Pasadena, TX 77504-2117
Phone
(713) 378-3320
Fax
(832) 925-7103
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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 1140655 TX Primary

Addresses

Primary practice location

4301 Vista Rd
Suite 104B
Pasadena, TX 77504-2117

Mailing address

2211 Rayford Rd
Suite 111, Box 131
Spring, TX 77386-1555
Phone (281) 719-0401

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1140655TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Health and Wellness LLC CurrentSince Apr 15, 2013 Accepting new patients
Bodytest Past Accepting new patients

Locations

4301 Vista Rd
#104B
Pasadena, TX 77504
Phone (281) 719-0401

2211 Rayford Rd
Ste 111
Spring, TX 77386
Phone (936) 443-2565

Organizations & group practices 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1841328341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 RAYFORD RD",
            "address_2": "SUITE 111, BOX 131",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861555",
            "telephone_number": "281-719-0401",
            "fax_number": "281-719-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD",
            "address_2": "SUITE 104B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "713-378-3320",
            "fax_number": "832-925-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMS",
        "first_name": "JAN",
        "middle_name": "WILLEM LAURENS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1140655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.