Active NPI
Kellie R Pyle
- Physical Therapy Assistant
- Denison, TX
National Provider Identifier
1265733653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2045896
- Practice address
- 1300 Memorial Dr
Denison, TX 75020-2037 - Phone
- (903) 465-7442
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 2045896 | TX | Primary |
Addresses
Primary practice location
1300 Memorial Dr
Denison, TX 75020-2037
Mailing address
1300 Memorial Dr
Denison, TX 75020-2037
Phone (903) 465-7442
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 |
|---|---|---|---|
| 2045896 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1265733653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MEMORIAL DR",
"city": "DENISON",
"state": "TX",
"postal_code": "750202037",
"telephone_number": "903-465-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MEMORIAL DR",
"city": "DENISON",
"state": "TX",
"postal_code": "750202037",
"telephone_number": "903-465-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLE",
"first_name": "KELLIE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2045896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.