Active NPI
Rockport Physical Medicine PA
- Family Nurse Practitioner
- Rockport, TX
National Provider Identifier
1851745558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ROCKPORT PHYSICAL MEDICINE PA
- Practice address
- 2011 Highway 35 N
Rockport, TX 78382-3302 - Phone
- (361) 729-2225
- Fax
- (361) 729-2483
- NPI assigned
- Apr 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Kouri, MD
- Title
- Owner
- Phone
- (817) 527-1492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Physical Therapist | 225100000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2011 Highway 35 N
Rockport, TX 78382-3302
Mailing address
2011 Highway 35 N
Rockport, TX 78382-3302
Phone (361) 729-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E7Z8 | Other | TX | BCBS |
| 388692101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160504000498 | TX | Part B Supplier - Clinic/Group Practice | 4284933805 |
Receives reassigned benefits from 6 practitioners Practice locations: Rockport, TX |
| O20160708001208 | TX | DME Supplier - Physician - Family Practice | 4284933805 | Practice locations: Rockport, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2331214 | Rockport Physical Medicine PA | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
2011 Highway 35 N
Rockport, TX 78382
Phone (361) 356-3110
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Big Spring, TX
- NPI 1568741585
-
- Chiropractor
- Rockport, TX
- NPI 1386746352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1851745558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 HIGHWAY 35 N",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823302",
"telephone_number": "361-729-2225",
"fax_number": "361-729-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 HIGHWAY 35 N",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783823302",
"telephone_number": "361-729-2225",
"fax_number": "361-729-2483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKPORT PHYSICAL MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-19",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "KOURI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-527-1492",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00E7Z8",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "388692101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.