Individual provider Active NPI

Kendra Elaine Gee, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1174136949
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1300982 Issued in TX
Practice address
11751 Alta Vista Rd Ste 201
Fort Worth, TX 76244-6442
Phone
(817) 562-1006
Fax
(817) 562-1009
NPI assigned
Aug 31, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1300982 TX Primary

Addresses

Primary practice location

11751 Alta Vista Rd Ste 201
Fort Worth, TX 76244-6442

Mailing address

11751 Alta Vista Rd Ste 201
Fort Worth, TX 76244-6442
Phone (817) 562-1006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001521 TX Practitioner - Physical Therapist in Private Practice 5294190484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1174136949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442",
            "telephone_number": "817-562-1006",
            "fax_number": "817-562-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442",
            "telephone_number": "817-562-1006",
            "fax_number": "817-562-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEE",
        "first_name": "KENDRA",
        "middle_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1300982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.