Unknown Individual – Clinical Electrophysiology Physical Therapist, NPI 1245330174

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Clinical Electrophysiology Physical Therapist. They hold a License No. 1040822 (TX). The NPI Number for Unknown Individual is 1245330174

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245330174
Phone
(713) 522-6004
Address
1213 HERMANN DR
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1966 (60 years ago)
PAC ID
7214031426
Professional Enrollment ID
I20070328000255
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1213, Hermann Drive, Houston, Harris County, Texas, 77004, United States

    SUITE 255

    HOUSTON, TX 770047018

    Phone: (713) 522-6004

    Fax: (713) 522-8785

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77004)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1245330174; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Electrophysiology Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Houston, Texas for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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