Kathryn McKayla Surovik

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2047 W Main St Ste A10
League City, TX 77573-3529

Phone

(281) 998-0901

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Agility Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapist
  • Houston, TX
  • NPI 1720484678
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1114766383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 W MAIN ST STE A10",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W MAIN ST STE A10",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733529",
            "telephone_number": "281-998-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROVIK",
        "first_name": "KATHRYN",
        "middle_name": "MCKAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Stullivan
• Ruiqing Sun, M.D.
• Rami Sunallah, M.D
• Prashanth R Sunkureddi, M.D.
• Supreme MRI League City LLC
• Jessica Sy
• Jennifer Syfert, PTA
• Synergy Specialty RX LLC
• Doan T Ta, PHARM. D
• Mary M Taberner

• Physical Therapy Assistant in League City, TX
• Providers in League City, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.