Active NPI
Kara Edgerton, DPT
- Physical Therapist
- Southlake, TX
National Provider Identifier
1053769695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1274247
- Practice address
- 2813 W Southlake Blvd
Suite 110
Southlake, TX 76092-6829 - Phone
- (817) 310-8780
- Fax
- (817) 310-8781
- NPI assigned
- May 24, 2016
- 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 | 1274247 | TX | Primary |
Addresses
Primary practice location
2813 W Southlake Blvd
Suite 110
Southlake, TX 76092-6829
Mailing address
6030 Saint Johns LN
Fort Worth, TX 76114-3100
Phone (817) 310-8780
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nto Physician Partners, PLLC | Past | Accepting new patients | |
| Decatur Hospital Authority | Past | Accepting new patients |
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.
-
dba Decatur Medical Lodge
- Skilled Nursing Facility
- Decatur, TX
- NPI 1649722943
-
- Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1114443181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1053769695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 SAINT JOHNS LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761143100",
"telephone_number": "817-310-8780",
"fax_number": "817-310-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 W SOUTHLAKE BLVD",
"address_2": "SUITE 110",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926829",
"telephone_number": "817-310-8780",
"fax_number": "817-310-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "KARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1274247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.