Individual provider Active NPI

Kristin A Jury, PT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1124110838
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1205223 Issued in TX
Practice address
21938 Royal Montreal Dr
Katy, TX 77450-5142
Phone
(281) 944-0001
Fax
(281) 944-0002
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 070011912 IL
Physical Therapist 225100000X 1205223 TX Primary

Addresses

Primary practice location

21938 Royal Montreal Dr
Katy, TX 77450-5142

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Kristin A Ryan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002827 TX Practitioner - Physical Therapist in Private Practice 1355314758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

21938 Royal Montreal Dr
Katy, TX 77450-5142
Phone (281) 944-0001

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011912ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Oct 28, 2021 Accepting new patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Oct 28, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

21938 Royal Montreal Dr
Katy, TX 77450
Phone (281) 944-0001

4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

Organizations & group practices 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1124110838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21938 ROYAL MONTREAL DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505142",
            "telephone_number": "281-944-0001",
            "fax_number": "281-944-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURY",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1205223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "RYAN",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.