Provider Demographics
NPI:1245980473
Name:CRAIG, JONATHAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:CRAIG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8181 EL MUNDO ST APT 903
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4155
Mailing Address - Country:US
Mailing Address - Phone:214-912-5640
Mailing Address - Fax:
Practice Address - Street 1:9701 RICHMOND AVE STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4643
Practice Address - Country:US
Practice Address - Phone:713-523-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13528642251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic