Individual provider Active NPI

Kamal Kishore Korkonda, PT

  • Physical Therapist
  • Cypress, TX
National Provider Identifier
1063763506
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1353382 Issued in TX
Practice address
18747 Mueschke Rd Ste D
Cypress, TX 77433-8759
Phone
(281) 547-8563
Fax
(281) 407-7536
NPI assigned
Sep 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11683 CO
Physical Therapist 225100000X 1353382 TX Primary

Addresses

Primary practice location

18747 Mueschke Rd Ste D
Cypress, TX 77433-8759

Mailing address

18747 Mueschke Rd Ste D
Cypress, TX 77433-8759
Phone (281) 547-8563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907001566 TX Practitioner - Physical Therapist in Private Practice 8325348352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Quest Enterprise IncGroup PAC ID 1355845868, 2 clinicians

Practice addresses (Care Compare)

18747 Mueschke Rd
Suite D
Cypress, TX 77433-8759
Phone (281) 547-8563

7667 Woodway Dr
HHRF Belmont Village Hunters Creek
Houston, TX 77063-1540
Phone (346) 358-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1353382TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Quest Enterprise Inc Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients

Locations

18747 Mueschke Rd
Ste D
Cypress, TX 77433
Phone (281) 547-8563

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

Organizations & group practices 3

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1063763506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 MUESCHKE RD STE D",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774338759",
            "telephone_number": "281-547-8563",
            "fax_number": "281-407-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 MUESCHKE RD STE D",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774338759",
            "telephone_number": "281-547-8563",
            "fax_number": "281-407-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKONDA",
        "first_name": "KAMAL",
        "middle_name": "KISHORE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11683",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1353382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.