Individual provider Active NPI

Jeff Sicat Cabalu

  • Physical Therapist
  • Pasadena, TX
National Provider Identifier
1942781430
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1113751 Issued in TX
Practice address
4500 E Sam Houston Pkwy S Ste 135
Pasadena, TX 77505-3956
Phone
(281) 998-2323
Fax
(281) 998-2329
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 1113751 TX Primary

Addresses

Primary practice location

4500 E Sam Houston Pkwy S Ste 135
Pasadena, TX 77505-3956

Mailing address

4203 Arboretum Dr
Pasadena, TX 77505-3875

Other practice location 1

1323 S 27th St Ste 100
Nederland, TX 77627-6257
Phone (409) 727-2334

Other identifiers 2

IdentifierTypeStateIssuer
17190735OtherTXTX DPS
1113751OtherTXTX PT LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1113751TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis F. Puig, M.D., PA 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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1942781430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 ARBORETUM DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S STE 135",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053956",
            "telephone_number": "281-998-2323",
            "fax_number": "281-998-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 S 27th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776276257",
            "country_code": "US",
            "telephone_number": "409-727-2334",
            "fax_number": "409-727-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALU",
        "first_name": "JEFF",
        "middle_name": "SICAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1113751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DPS",
            "identifier": "17190735",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX PT LICENSE",
            "identifier": "1113751",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.