Active NPI
Cynthia Kulak, P.T.
- Physical Therapist
- Kilgore, TX
National Provider Identifier
1063502888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1029445
- Practice address
- 1200 Dudley Rd
Kilgore, TX 75662-3306 - Phone
- (903) 984-5571
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- 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 | 1029445 | TX | Primary |
Addresses
Primary practice location
1200 Dudley Rd
Kilgore, TX 75662-3306
Mailing address
2207 Simmons St
Kilgore, TX 75662-3645
Phone (903) 983-2777
Other names 1
- Mrs. Cindy Kulak
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 |
|---|---|---|---|
| 1029445 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Treatment Center | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Kilgore, TX
- NPI 1023002425
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063502888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 SIMMONS ST",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623645",
"telephone_number": "903-983-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 DUDLEY RD",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623306",
"telephone_number": "903-984-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAK",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1029445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "KULAK",
"prefix": "MRS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kilgore, TX
- Kilgore Manor Inc (Legacy Living Centers)
- Kilgore Spine and Joint PLLC
- Kilgore-Gilmer Eye Care Centers P.a. (Kilgore Eye Care Center)
- Austin Knox, LPC ASSOCIATE
- Angela Solis Krenek, RPH
- Kulkarni Dental PC (deluxe dental)
- Shweta Kulkarni, DDS
- Colleen S. Lagrone, MPT
- Laird Memorial Hospital
- Carol Ann Lambert, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.