Active NPI
Kendra Browder
- Physical Therapy Assistant
- Huntsville, TX
National Provider Identifier
1063642684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2038297
- Practice address
- 1115 Avenue O
Huntsville, TX 77340-4443 - Phone
- (936) 439-9515
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2038297 | TX | Primary |
Addresses
Primary practice location
1115 Avenue O
Huntsville, TX 77340-4443
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Phone (604) 276-3900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2038297 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1063642684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 HIGHWAY 98 W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396669132",
"telephone_number": "604-276-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 AVENUE O",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404443",
"telephone_number": "936-439-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWDER",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2038297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.