Individual provider Active NPI

Kelley Trcka, PT

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1275682239
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1136737 Issued in TX
Practice address
1847 W State Highway 46 Ste D
New Braunfels, TX 78132-4740
Phone
(830) 606-1200
NPI assigned
Jan 9, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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 1136737 TX Primary

Addresses

Primary practice location

1847 W State Highway 46 Ste D
New Braunfels, TX 78132-4740

Mailing address

19 Gruene Park Dr
New Braunfels, TX 78130-2459
Phone (830) 606-1200

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1275682239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GRUENE PARK DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302459",
            "telephone_number": "830-606-1200",
            "fax_number": "830-606-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 W STATE HIGHWAY 46 STE D",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324740",
            "telephone_number": "830-606-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRCKA",
        "first_name": "KELLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1136737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.