Individual provider Active NPI

Nancy Miko Jefferson, PT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1942540596
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1093342 Issued in TX
Practice address
6767 Lake Woodlands Dr Ste F
The Woodlands, TX 77382-2566
Phone
(281) 364-1122
Fax
(281) 419-3101
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 1093342 TX Primary

Addresses

Primary practice location

6767 Lake Woodlands Dr Ste F
The Woodlands, TX 77382-2566

Mailing address

6767 Lake Woodlands Dr Ste F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703000667 TX Practitioner - Physical Therapist in Private Practice 4486879566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Ridge Orthopaedics and Sports Medicine LLCGroup PAC ID 8325089055, 43 clinicians

Practice addresses (Care Compare)

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
67.43
Promoting interoperability
100
Improvement activities
40
Cost
69.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nancy.jefferson.1@1066.direct.athenahealth.com

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1942540596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR STE F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122",
            "fax_number": "281-419-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR STE F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122",
            "fax_number": "281-419-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "NANCY",
        "middle_name": "MIKO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1093342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.