JEANNE MARIE SANTOS UBALDE (PT, CLT) – Physical Therapist, NPI 1386126233

JEANNE MARIE SANTOS UBALDE (PT, CLT) is a healthcare provider. based in Longview, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CLT. They hold a License No. 1210835 (TX). The NPI Number for JEANNE MARIE SANTOS UBALDE (PT, CLT) is 1386126233

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE MARIE SANTOS UBALDE (PT, CLT)
NPI
1386126233
Phone
(903) 212-9456
Address
912 WALNUT HILL DR
Enumeration Date
6 September 2018
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032129456
Graduation Year
2009 (17 years ago)
PAC ID
2668864125
Group Practice PAC ID
1254608771
Professional Enrollment ID
I20220113002410
Address ID
TX756055052LO912XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for JEANNE MARIE SANTOS UBALDE (PT, CLT)

  • 912 WALNUT HILL DR

    LONGVIEW, TX 756055052

    Phone: (903) 212-9456

    Fax: (903) 291-6305

    Type: Mailing

  • 2201, Horseshoe Lane, Longview, Gregg County, Texas, 75605, United States

    LONGVIEW, TX 756055650

    Phone: (903) 234-0000

    Type: Mailing

  • 2201 Horseshoe Ln

    Longview, TX 756055650

    Phone: (903) 234-0000

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220113002410IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,515105$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46339$0
97140Therapy procedure using manual technique, each 15 minutes25130$0
97161Evaluation for physical therapy, typically 20 minutes123111$0
95992Repositioning exercises of head for treatment of dizziness, each day7632$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254608771View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YAL
Physical Therapist In Private PracticeTX
Nurse PractitionerTX
-TX
-TX
Pediatric MedicineTX

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Frequently asked questions

Is JEANNE MARIE SANTOS UBALDE (PT, CLT) listed with a National Provider Identifier?
Yes — JEANNE MARIE SANTOS UBALDE (PT, CLT) has NPI 1386126233 on file in the registry.
Would JEANNE MARIE SANTOS UBALDE (PT, CLT) appear as active to a payer?
You can treat JEANNE MARIE SANTOS UBALDE (PT, CLT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JEANNE MARIE SANTOS UBALDE (PT, CLT)?
JEANNE MARIE SANTOS UBALDE (PT, CLT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEANNE MARIE SANTOS UBALDE (PT, CLT)?
Travel planning: use Longview, Texas as the reference point for JEANNE MARIE SANTOS UBALDE (PT, CLT), then confirm.
Can I trust this NPI listing for JEANNE MARIE SANTOS UBALDE (PT, CLT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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