Individual provider Active NPI

Jennifer Ann Surma, DPT

  • Physical Therapist
  • Kingsville, TX
National Provider Identifier
1871732776
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1170258 Issued in TX
Practice address
100 E Kleberg Ave Ste 336
Kingsville, TX 78363-4581
Phone
(512) 821-1101
Fax
(512) 821-1071
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 1170258 TX Primary

Addresses

Primary practice location

100 E Kleberg Ave Ste 336
Kingsville, TX 78363-4581

Mailing address

12417 N. Mopac Expwy. Ste 575
Austin, TX 78758-2410
Phone (512) 821-1101

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
1170258TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsville Home Rehab Services Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1871732776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 N. MOPAC EXPWY. STE 575",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582410",
            "telephone_number": "512-821-1101",
            "fax_number": "512-821-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KLEBERG AVE STE 336",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634581",
            "telephone_number": "512-821-1101",
            "fax_number": "512-821-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURMA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1170258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.