Sherly Rege Kuttothara

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2111543 Issued in TX

Practice address

1112 Smith Dr
Alvin, TX 77511-5562

Phone

(281) 331-6125

NPI assigned

Oct 31, 2018

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

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1174090807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 BLAZING GAP",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SMITH DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115562",
            "telephone_number": "281-331-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTOTHARA",
        "first_name": "SHERLY",
        "middle_name": "REGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2111543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra S King, LPC, LCDC, SWA
• Nimisha Kizhkkethara, PHARMD
• Amanda Esperanza Knape, COTA
• Tarek Koussayer, M.D.
• Kroger Texas L P (Kroger Pharmacy)
• KZJ PLLC (alvinfamilydental)
• Laboring Loved Ones Personal Care Home
• Minu Lalu
• Ross Allen Leago III, D.C.
• Richard H Leconey, M.D.

• Physical Therapy Assistant in Alvin, TX
• Providers in Alvin, 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 Oct 31, 2018; 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.