Individual provider Active NPI

Kurt Klobassa, DPT

  • Physical Therapist
  • Lewisville, TX
National Provider Identifier
1104279843
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319030 Issued in TX
Practice address
1288 W Main St Ste 148
Lewisville, TX 75067-3468
Phone
(469) 496-3992
NPI assigned
Jul 18, 2016
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 IA
Physical Therapist 225100000X 1319030 TX Primary

Addresses

Primary practice location

1288 W Main St Ste 148
Lewisville, TX 75067-3468

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

2306 State St
Guthrie Center, IA 50115-8896
Phone (641) 332-2204

Other practice location 2

3001 State Highway 121
Euless, TX 76039
Phone (817) 684-0397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924001752 TX Practitioner - Physical Therapist in Private Practice 8921338674 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportherapy LLCGroup PAC ID 0749536308, 45 clinicians

Practice addresses (Care Compare)

1288 W Main St
Suite 148
Lewisville, TX 75067-3468
Phone (469) 496-3992

8857 Davis Blvd
Suite 100
Keller, TX 76248-0308
Phone (817) 431-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Austin Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 12, 2019 Accepting new patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Texas Physical Therapy Specialists CurrentSince May 1, 2021 Accepting new patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Gateway Partners Inc Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Dec 7, 2020 Accepting new patients
Vista Rehab Partners, LP Physical Therapist Past Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

400 W Arbrook Blvd
Ste 151
Arlington, TX 76014
Phone (817) 472-8383

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

320 W William Cannon Dr
Austin, TX 78745
Phone (512) 371-7273

7801 N Lamar Blvd
Ste B174
Austin, TX 78752
Phone (512) 371-7273

3733 N Josey Ln
Ste 100
Carrollton, TX 75007
Phone (972) 395-7445

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

12457 Timberland Blvd
Ste 205
Fort Worth, TX 76244
Phone (682) 213-3006

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

1288 W Main St
Ste 148
Lewisville, TX 75067
Phone (469) 496-3992

966 N Garden Ridge Blvd
Ste 530
Lewisville, TX 75077
Phone (972) 420-6605

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1010 N Belt Line Rd
Ste 102
Mesquite, TX 75149
Phone (972) 288-2400

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Organizations & group practices 11

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1104279843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 W MAIN ST STE 148",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673468",
            "telephone_number": "469-496-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 State St",
            "address_purpose": "LOCATION",
            "city": "Guthrie Center",
            "state": "IA",
            "postal_code": "501158896",
            "country_code": "US",
            "telephone_number": "641-332-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "76039",
            "country_code": "US",
            "telephone_number": "817-684-0397",
            "fax_number": "817-684-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOBASSA",
        "first_name": "KURT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.