Individual provider Active NPI

Subhadra Kondapalli, PT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1245589928
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1356470 Issued in TX
Practice address
21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519
Phone
(281) 398-8235
Fax
(281) 398-8246
NPI assigned
Sep 10, 2012
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014450 IL
Physical Therapist 225100000X 1356470 TX Primary

Addresses

Primary practice location

21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519

Mailing address

21707 Kingsland Blvd Ste 101
Katy, TX 77450-2519
Phone (281) 398-8235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013000215 TX Practitioner - Physical Therapist in Private Practice 3476929696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Therapy Centers Limited PartnershipGroup PAC ID 3779493630, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

21211 FM 529 Rd
Suite 102
Cypress, TX 77433-6851
Phone (832) 295-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070014450ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Aug 2, 2022 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Aug 2, 2022 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Aug 2, 2022 Accepting new patients

Locations

15201 Mason Rd
Ste 800
Cypress, TX 77433
Phone (713) 609-9224

21211 FM 529 Rd
Cypress, TX 77433
Phone (832) 295-0650

21211 FM 529 Rd
Ste 102
Cypress, TX 77433
Phone (832) 295-0650

29615 FM 1093 Rd
Ste 2
Fulshear, TX 77441
Phone (281) 533-0507

21707 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 398-8235

2840 Commercial Center Blvd
Ste 103
Katy, TX 77494
Phone (281) 693-1063

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

Organizations & group practices 6

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1245589928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502519",
            "telephone_number": "281-398-8235",
            "fax_number": "281-398-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502519",
            "telephone_number": "281-398-8235",
            "fax_number": "281-398-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDAPALLI",
        "first_name": "SUBHADRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1356470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.