Active NPI
Kaitlyn Pakkala, PTA
- Physical Therapy Assistant
- Irving, TX
National Provider Identifier
1225508070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2143290
- Practice address
- 125 N Macarthur Blvd
Irving, TX 75061-7413 - Phone
- (972) 887-3318
- NPI assigned
- Dec 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2143290 | TX | Primary |
Addresses
Primary practice location
125 N Macarthur Blvd
Irving, TX 75061-7413
Mailing address
125 N Macarthur Blvd
Irving, TX 75061-7413
Phone (972) 887-3318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2143290 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1225508070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750617413",
"telephone_number": "972-887-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750617413",
"telephone_number": "972-887-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKKALA",
"first_name": "KAITLYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2143290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Pain Care Specialists, PA
- Pain Management Holdings, PA
- Pain Management Physicians of Dallas PLLC (Dallas Pain Consultants)
- Pain Management Physicians of Dallas PLLC (Dallas Pain Consultants)
- Yong T Pak, MD
- Lois Palaparthi, PA-C
- Kelly Palmer, OTR
- Lindsay Palmer, MS SLP-INTERN
- Palmercare Chiropractic Las Colinas LLC
- Panchava PLLC (Universal Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.