SUDARUKS THANASIRIPONG
NPI 1265082655
Physical Therapist in Houston, TX

Active since September 17, 2019Accepts Medicare Assignment
14703 EAGLE VISTA DR STE 601, HOUSTON, TX 77077(281) 249-7103 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sudaruks Thanasiripong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDARUKS THANASIRIPONG (NPI 1265082655) is an individual physical therapist in Houston, Texas, licensed in Texas (1074052) and active in the NPI registry since September 2019. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1265082655
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSUDARUKS THANASIRIPONG
Location Address14703 EAGLE VISTA DR STE 601Houston, TX 77077-5393
Mailing Address14703 Eagle Vista Dr Ste 601Houston, TX 77077-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 17, 2019
✔ NPI 1265082655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1074052
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
14703 EAGLE VISTA DR STE 601, Houston, TX 77077

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sudaruks Thanasiripong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648753426
PECOS Enrollment IDI20260310003356

Medicare Billing Reassignments

2

Medicare enrollment records show Sudaruks Thanasiripong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
13903 MOWBRAY CT
Richmond, TX 77407
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
Physical Therapist
127 W BROAD ST
Lake Charles, LA 70601
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
14703 EAGLE VISTA DR STE 601
HOUSTON, TX 77077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudaruks Thanasiripong's NPI number?

The NPI number for Sudaruks Thanasiripong is 1265082655. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Sudaruks Thanasiripong located?

Sudaruks Thanasiripong practices at 14703 Eagle Vista Dr Ste 601, Houston, TX 77077. The listed phone number is (281) 249-7103.

What is Sudaruks Thanasiripong's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sudaruks Thanasiripong enrolled in Medicare?

Yes. Sudaruks Thanasiripong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sudaruks Thanasiripong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudaruks Thanasiripong reassigns Medicare benefits to 2 organizations: Zfron LLC (Richmond, TX) and Synergy Care Southeast, LLC (Lake Charles, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudaruks Thanasiripong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudaruks Thanasiripong accept?

Health plans from Blue Cross and Blue Shield of Texas list Sudaruks Thanasiripong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudaruks Thanasiripong was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.