Active NPI
Jeffrey Lawrence Jefferson, PT
- Physical Therapist
- Baytown, TX
National Provider Identifier
1942350129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1083657
- Practice address
- 2802 Garth Rd Ste 109
Baytown, TX 77521-3924 - Phone
- (832) 556-7750
- Fax
- (832) 556-0841
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1083657 | TX | Primary |
| Geriatric Physical Therapist | 2251G0304X | 1083657 | TX | |
| Hand Physical Therapist | 2251H1200X | 1083657 | TX | |
| Sports Physical Therapist | 2251S0007X | 1083657 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1083657 | TX |
Addresses
Primary practice location
2802 Garth Rd Ste 109
Baytown, TX 77521-3924
Mailing address
10876 Lowrance PL
Beaumont, TX 77705-8940
Phone (409) 794-3863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T5135 | Other | TX | BCBS PROVIDER # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1083657 | TX | MD | Hand Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1942350129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10876 LOWRANCE PL",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777058940",
"telephone_number": "409-794-3863",
"fax_number": "409-794-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 GARTH RD STE 109",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213924",
"telephone_number": "832-556-7750",
"fax_number": "832-556-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "JEFFREY",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1083657",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1083657",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "TX",
"license": "1083657",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1083657",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1083657",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8T5135",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.