Individual provider Active NPI

Kaitlin F Kemp

  • Physical Therapy Assistant
  • El Paso, TX
National Provider Identifier
1043853534
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2948 Issued in OK
Practice address
2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129
Phone
(915) 271-8030
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 2948 OK Primary

Addresses

Primary practice location

2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129

Mailing address

111 King Richard CT
El Paso, TX 79924-5409
Phone (580) 227-0706

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2948OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Nov 3, 2019 Accepting new patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Nov 10, 2019 Accepting new patients

Locations

2114 N Zaragoza Rd
Ste C1
El Paso, TX 79938
Phone (915) 271-8030

Organizations & group practices 2

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1043853534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KING RICHARD CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799245409",
            "telephone_number": "580-227-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388129",
            "telephone_number": "915-271-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KAITLIN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.