Individual provider Active NPI

Kailee Claustro, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1104681568
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1388068 Issued in TX
Practice address
6101 Windhaven Pkwy Ste 145
Plano, TX 75093-8198
Phone
(972) 473-8980
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 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 1388068 TX Primary

Addresses

Primary practice location

6101 Windhaven Pkwy Ste 145
Plano, TX 75093-8198

Mailing address

5601 Southern Hills Dr
North Richland Hills, TX 76180-0835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807004181 TX Practitioner - Physical Therapist in Private Practice 2062959000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1388068TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PMST Management Group Physical Therapist CurrentSince May 22, 2024 Accepting new patients
Trend Physicians Group, Inc Physical Therapist PastSince May 22, 2024 Accepting new patients

Locations

6101 Windhaven Pkwy
Ste 145
Plano, TX 75093
Phone (888) 382-0161

8900 Princeton Rd
Rowlett, TX 75089
Phone (469) 897-4971

Organizations & group practices 2

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1104681568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SOUTHERN HILLS DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WINDHAVEN PKWY STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938198",
            "telephone_number": "972-473-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSTRO",
        "first_name": "KAILEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1388068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.