Kaitlyn Marie Jayne, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1364712 Issued in TX

Practice address

11450 Space Center Blvd Ste 201
Houston, TX 77059-3642

Phone

(281) 988-0901

NPI assigned

Aug 18, 2022

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Physical Therapy and Sports Rehabilitation,LLCGroup PAC ID 3476870007, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Agility Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapist
  • Houston, TX
  • NPI 1720484678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1134847981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15403 DRIFTWOOD OAK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595829",
            "telephone_number": "281-840-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 SPACE CENTER BLVD STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593642",
            "telephone_number": "281-988-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNE",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaycee'S Children Center, Inc.
• Jaydam Services, LLC
• Jayme C. Therapy and Wellness, PLLC
• Mia Lerado Jayme
• Christopher J Jayne, M.D.
• Jennifer Michelle Jaynes, D.O.
• Jays Party Supplies
• Jaystal Inc
• Malay Jayswal, M.D.
• Amir A. Jazaeri, M.D.

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.