Individual provider Active NPI

Kendall Gill, PT, DPT

  • Physical Therapist
  • Galveston, TX
National Provider Identifier
1073963641
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1204543 Issued in TX
Practice address
1021 61St St
Galveston, TX 77551-1118
Phone
(409) 741-8472
Fax
(409) 741-2342
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1204543 TX Primary

Addresses

Primary practice location

1021 61St St
Galveston, TX 77551-1118

Mailing address

PO Box 3106
Galveston, TX 77552-0106
Phone (409) 741-8472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211209000320 TX Practitioner - Physical Therapist in Private Practice 4082002555 Reassigns benefits to 1 organization
I20231031003726 NM Practitioner - Physical Therapist in Private Practice 4082002555 Reassigns benefits to 1 organization
I20250612001326 CO Practitioner - Physical Therapist in Private Practice 4082002555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colony Rehab LLCGroup PAC ID 9234190224, 2 clinicians
The Hudson Group IncGroup PAC ID 7214061282, 4 clinicians

Practice addresses (Care Compare)

1021 61St St
Suite 100B
Galveston, TX 77551-1118
Phone (409) 741-8472

722 S 8TH St
Canon City, CO 81212-4906
Phone (719) 345-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1204543TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hudson Group Inc. Physical Therapist CurrentSince May 31, 2025 Accepting new patients
Ruidoso Physical Therapy Clinic, Inc Physical Therapist CurrentSince Sep 8, 2023 Accepting new patients
Expert Physical Therapy Inc. Physical Therapist CurrentSince Jun 30, 2026 Accepting new patients
First Colony Rehab, LLC Physical Therapist CurrentSince Oct 30, 2021 Accepting new patients
Bayfield Physical Therapy, Inc. Physical Therapist CurrentSince Jun 24, 2025 Accepting new patients
Tomsic Physical Therapy, Inc. Physical Therapist CurrentSince Jun 30, 2026 Accepting new patients

Locations

722 S 8th St
Canon City, CO 81212
Phone (719) 345-4097

575 Rivergate Ln
Unit 97
Durango, CO 81301
Phone (970) 259-0574

7596 W Jewell Ave
Ste 302
Lakewood, CO 80232
Phone (303) 980-1271

439 Mechem Dr
Ruidoso, NM 88345
Phone (505) 257-1800

1021 61st St
Ste B100B
Galveston, TX 77551
Phone (409) 741-8472

6444 Central City Blvd
Galveston, TX 77551
Phone (409) 741-3266

Organizations & group practices 6

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1073963641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3106",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775520106",
            "telephone_number": "409-741-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 61ST ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511118",
            "telephone_number": "409-741-8472",
            "fax_number": "409-741-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KENDALL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1204543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.