Individual provider Active NPI

Kimberly Sam Aing, PT, DPT

  • Orthopedic Physical Therapist
  • Houston, TX
National Provider Identifier
1083069785
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1270959 Issued in TX
Practice address
1102 Pinemont Dr Ste C
Houston, TX 77018-1323
Phone
(713) 277-8738
NPI assigned
May 1, 2016
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1270959 TX Primary

Addresses

Primary practice location

1102 Pinemont Dr Ste C
Houston, TX 77018-1323

Mailing address

2547 Willow Dr
Stafford, TX 77477-5630
Phone (713) 277-8738

Other practice location 1

12727 Kimberley Ln
Suite 104
Houston, TX 77024-4047
Phone (713) 365-9338

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

LicenseStateTypeSpecialty
1270959TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Osteopractic Physical Therapy & Wellness CurrentSince Jul 1, 2021 Accepting new patients

Locations

1102 Pinemont Dr
Ste C
Houston, TX 77018
Phone (713) 277-8738

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1083069785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 WILLOW DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775630",
            "telephone_number": "713-277-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 PINEMONT DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181323",
            "telephone_number": "713-277-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12727 Kimberley Ln",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770244047",
            "country_code": "US",
            "telephone_number": "713-365-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AING",
        "first_name": "KIMBERLY SAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-01",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1270959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.