Active NPI
Katie Elizabeth Halliburton, P.T.
- Physical Therapist
- New Braunfels, TX
National Provider Identifier
1043481948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1170340
- Practice address
- 1528 E Common St
Ste 23
New Braunfels, TX 78130-3337 - Phone
- (830) 620-4922
- Fax
- (830) 625-1194
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1170340 | TX | Primary |
Addresses
Primary practice location
1528 E Common St
Ste 23
New Braunfels, TX 78130-3337
Mailing address
1528 E Common St
Ste 23
New Braunfels, TX 78130-3337
Phone (830) 620-4922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1170340 | Other | TX | PT LICENSE |
Other names 1
- Katie Elizabeth Felts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170340 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1043481948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 E COMMON ST",
"address_2": "STE 23",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303337",
"telephone_number": "830-620-4922",
"fax_number": "830-625-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 E COMMON ST",
"address_2": "STE 23",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303337",
"telephone_number": "830-620-4922",
"fax_number": "830-625-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIBURTON",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1170340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1170340",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "FELTS",
"middle_name": "ELIZABETH",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.