JENNY NICOLE SAMUELSON (NPI# 1275844300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275844300 |
| Entity Type | Individual |
| Full Name | JENNY NICOLE SAMUELSON |
| Credential | PT |
| Practice Address |
1140 Business Center Dr Suite 101 Houston TX 77043-2737 |
| Practice Telephone | 7138279316 |
| Practice Fax Number | 7138278345 |
| Mailing Telephone | 7138279316 |
| Mailing Fax Number | 7138278345 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1196961 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1140 BUSINESS CENTER DR SUITE 101 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123862 | Ali Azimpoor | Neurological Surgery | 1140 Business Center Dr, Suite 490, Houston, TX 77043-2737 | 2005-06-10 |
| 1558995514 | Edilma Ofir Sosa | Physical Therapist | 1140 Business Center Dr, Houston, TX 77043-2737 | 2020-02-28 |
| 1467967745 | Alliance Dx, LLC | Clinical Medical Laboratory | 1140 Business Center Dr, Houston, TX 77043-2737 | 2017-12-07 |
| 1306204425 | Jeffrey N. Bowman,dpm, PC | Podiatrist | 1140 Business Center Dr, Suite 510, Houston, TX 77043-2737 | 2016-02-03 |
| 1538552716 | Interventional Pain and Recovery Center, Pllc | Physical Medicine & Rehabilitation | 1140 Business Center Dr, Ste. 580, Houston, TX 77043-2737 | 2015-03-11 |
| 1265832380 | Applied Diagnostics Associates Pa | Specialist | 1140 Business Center Dr, Suite 370, Houston, TX 77043-2737 | 2014-08-26 |
| 1780924571 | Dream Pharmacy Inc | Pharmacy | 1140 Business Center Dr, Ste 103, Houston, TX 77043-2737 | 2013-02-15 |
| 1821337049 | Kimberlee Kruger Perras | Nurse Practitioner | 1140 Business Center Dr, Suite 550, Houston, TX 77043-2737 | 2013-02-07 |
| 1710236252 | Reid Arthur Fayrweather | Nurse Practitioner | 1140 Business Center Dr, Suite 201, Houston, TX 77043-2737 | 2012-08-30 |
| 1922386663 | Westview Medical Consultants LLP | Anesthesiology | 1140 Business Center Dr, Ste 580, Houston, TX 77043-2737 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1568001659 | Cinnamon Michelle Martin | Physical Therapist | 1329 Afton St, Houston, TX 77055-6940 | 2020-01-06 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1952849291 | Stephanie Shereen Feiz-mahdavi | Physical Therapist | 7575 San Felipe St Ste 125, Houston, TX 77063-1776 | 2017-02-07 |
| 1699176206 | Jonathan Ruzicka | Physical Therapist | 4000 Washington Ave Ste 302, Houston, TX 77007-5678 | 2014-09-15 |
| 1659701910 | Chris Goerlich | Physical Therapist | 22452 State Highway 249, Houston, TX 77070-1529 | 2013-11-22 |
| 1962742197 | Fabio Chiari | Physical Therapist | 1235 Clear Lake City Blvd Ste F, Houston, TX 77062-8125 | 2013-02-25 |
| 1528330735 | Michael Damon Dearman | Physical Therapist | 8603 Timberside Dr, Houston, TX 77025-3734 | 2012-02-02 |
| 1497902662 | The Hawkeye Group Incorporated | Physical Therapist | 5320 Elm Street, Houston, TX 77081 | 2008-08-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.