Active NPI
Kathryn Andres, PT, DPT
- Physical Therapist
- Corinth, TX
National Provider Identifier
1124527890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1313797
- Practice address
- 3001 FM 2181 Ste 150
Corinth, TX 76210-0109 - Phone
- (940) 498-4004
- Fax
- (940) 498-4008
- NPI assigned
- Feb 7, 2018
- Last updated
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017269 | OH | |
| Physical Therapist | 225100000X | 1313797 | TX | Primary |
Addresses
Primary practice location
3001 FM 2181 Ste 150
Corinth, TX 76210-0109
Mailing address
28552 State Route 1
West Harrison, IN 47060-8734
Phone (513) 673-5729
Other practice location 1
1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (866) 221-5405
Other practice location 2
520 Fielder North Plz
Arlington, TX 76012-2309
Phone (817) 461-4257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT017269 | Other | OH | PT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1313797 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1124527890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28552 STATE ROUTE 1",
"city": "WEST HARRISON",
"state": "IN",
"postal_code": "470608734",
"telephone_number": "513-673-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 FM 2181 STE 150",
"city": "CORINTH",
"state": "TX",
"postal_code": "762100109",
"telephone_number": "940-498-4004",
"fax_number": "940-498-4008"
}
],
"practiceLocations": [
{
"address_1": "1755 Wittington Pl Ste 175",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752341905",
"country_code": "US",
"telephone_number": "866-221-5405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 Fielder North Plz",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760122309",
"country_code": "US",
"telephone_number": "817-461-4257",
"fax_number": "817-461-4865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRES",
"first_name": "KATHRYN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017269",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1313797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT017269",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.