Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse David Carlucci, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1912632548

Jesse David Carlucci, PTA is a Physical Medicine & Rehabilitation Physician in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

303 Lantern Bend Dr
Houston, TX 77090-2823
Phone: (518) 852-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2110477 (TX)

Record details

NPI number1912632548
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address16912 Tableland Trl, Conroe, TX 77385-2010

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