Individual provider Active NPI

Jason Turner Barranco, M.P.T.

  • Physical Therapist
  • Magnolia, TX
National Provider Identifier
1851438113
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139822 Issued in TX
Practice address
6318 FM 1488 Rd
Suite 150
Magnolia, TX 77354-2763
Phone
(936) 273-0808
Fax
(936) 273-0860
NPI assigned
Jan 30, 2007
Last updated
Apr 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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 1139822 TX Primary

Addresses

Primary practice location

6318 FM 1488 Rd
Suite 150
Magnolia, TX 77354-2763

Mailing address

6318 FM 1488 Rd
Suite 150
Magnolia, TX 77354-2763
Phone (936) 273-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000371 TX Practitioner - Physical Therapist in Private Practice 7012014483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians

Practice addresses (Care Compare)

18001 Hwy 105
Suite 106
Montgomery, TX 77356-2881
Phone (936) 582-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Dec 29, 2006 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Dec 29, 2006 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Past Accepting new patients

Locations

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

6318 FM 1488 Rd
Ste 150
Magnolia, TX 77354
Phone (936) 273-0808

18001 Highway 105 W
Ste 106
Montgomery, TX 77356
Phone (936) 582-2464

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1851438113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD",
            "address_2": "SUITE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542763",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD",
            "address_2": "SUITE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542763",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANCO",
        "first_name": "JASON",
        "middle_name": "TURNER",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.

Verify at the official NPI Registry.