Individual provider Active NPI

Katherine Amanda Rostron, D.P.T

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1003275561
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1297769 Issued in TX
Practice address
10223 Broadway St Ste B
Pearland, TX 77584-7881
Phone
(713) 436-3900
Fax
(713) 436-3904
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12880 WI
Physical Therapist 225100000X 1297769 TX Primary

Addresses

Primary practice location

10223 Broadway St Ste B
Pearland, TX 77584-7881

Mailing address

10223 Broadway St Ste B
Pearland, TX 77584-7881
Phone (713) 436-3900

Other practice location 1

6600 Spring Stuebner Rd Ste 164
Spring, TX 77389-5286
Phone (832) 430-4895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000608 TX Practitioner - Physical Therapist in Private Practice 4789924440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

5729 Lebanon Rd
Frisco, TX 75034-7259
Phone (769) 731-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1297769TXMDPhysical Therapist
12880WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Proactive Physical Therapy Centers, PLLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

1761 S Loop 336 W
Ste 102
Conroe, TX 77304
Phone (936) 323-6381

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

10223 Broadway St
Ste B
Pearland, TX 77584
Phone (713) 436-3900

8619 Broadway St
Ste 205
Pearland, TX 77584
Phone (832) 500-7699

8850 Six Pines Dr
Ste 290
Shenandoah, TX 77380
Phone (281) 364-8844

6600 Spring Stuebner Rd
Ste 164
Spring, TX 77389
Phone (832) 430-4895

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1003275561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Spring Stuebner Rd Ste 164",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773895286",
            "country_code": "US",
            "telephone_number": "832-430-4895",
            "fax_number": "832-602-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTRON",
        "first_name": "KATHERINE",
        "middle_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1297769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.