Individual provider Active NPI

Jonathan Casimir

  • Physical Therapy Assistant
  • Sugar Land, TX
National Provider Identifier
1992391395
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2159332 Issued in TX
Practice address
14131 Shamrock Park LN
Sugar Land, TX 77498-1667
Phone
(281) 202-7493
NPI assigned
Dec 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2159332 TX Primary

Addresses

Primary practice location

14131 Shamrock Park LN
Sugar Land, TX 77498-1667

Mailing address

11569 S Highway 6 # 28
Sugar Land, TX 77498-4932
Phone (281) 202-7493

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
2159332TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1992391395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11569 S HIGHWAY 6 # 28",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984932",
            "telephone_number": "281-202-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 SHAMROCK PARK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981667",
            "telephone_number": "281-202-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2159332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.