Individual provider Active NPI

James D Hedgepeth

  • Specialist
  • Live Oak, TX
National Provider Identifier
1962432146
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169110 Issued in TX
Practice address
11481 Toepperwein Rd
Suite 1201
Live Oak, TX 78233
Phone
(210) 599-8903
Fax
(210) 599-9035
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 169110 TX Primary

Addresses

Primary practice location

11481 Toepperwein Rd
Suite 1201
Live Oak, TX 78233

Mailing address

11481 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3145
Phone (210) 599-8903

Other identifiers 1

IdentifierTypeStateIssuer
062809102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000477 TX Practitioner - Physical Therapist in Private Practice 8628035466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toepperwein Physical Therapy and Spine Rehab PCGroup PAC ID 5193899789, 3 clinicians

Practice addresses (Care Compare)

11481 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3146

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
75.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169110TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Toepperwein Physical Therapy and Spine Rehab PC CurrentSince Jan 1, 2008 Accepting new patients

Locations

11481 Toepperwein Rd
Ste 1201
Live Oak, TX 78233
Phone (210) 599-8903

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962432146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD",
            "address_2": "SUITE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333145",
            "telephone_number": "210-599-8903",
            "fax_number": "210-599-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD",
            "address_2": "SUITE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-599-8903",
            "fax_number": "210-599-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "JAMES",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "169110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062809102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.