Individual provider Active NPI

Kristah Lynn Woolley, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1225460751
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1233428 Issued in TX
Practice address
3100 Timmons LN Ste 120
Houston, TX 77027-5925
Phone
(713) 621-2486
Fax
(713) 621-2491
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 1233428 TX Primary

Addresses

Primary practice location

3100 Timmons LN Ste 120
Houston, TX 77027-5925

Mailing address

3000 Richmond Ave Ste 100
Houston, TX 77098-3188

Other names 1

  • Kristah Lynn Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristah@affiliatesinphysicaltherapy.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421000580 TX Practitioner - Physical Therapist in Private Practice 2163654419

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates Prime Plus, LLCGroup PAC ID 4284098419, 7 clinicians

Practice addresses (Care Compare)

800 Bering Dr
Suite 101
Houston, TX 77057-2130
Phone (832) 494-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1225460751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 RICHMOND AVE STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275925",
            "telephone_number": "713-621-2486",
            "fax_number": "713-621-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "KRISTAH",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1233428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristah@affiliatesinphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "kristah@affiliatesinphysicaltherapy.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Timmons Ln Ste 120",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTAH",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.