Individual provider Active NPI

Kevin Dang

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1275934838
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1249417 Issued in TX
Practice address
1711 Alcorn Bayou Dr
Sugar Land, TX 77479-3209
Phone
(832) 876-7427
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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 1249417 TX Primary

Addresses

Primary practice location

1711 Alcorn Bayou Dr
Sugar Land, TX 77479-3209

Mailing address

1711 Alcorn Bayou Dr
Sugar Land, TX 77479-3209
Phone (832) 876-7427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002730 TX Practitioner - Physical Therapist in Private Practice 7315340510 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jumpstart Services IncGroup PAC ID 0345595237, 7 clinicians
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

129 Alondra Way
Round Rock, TX 78681-1789
Phone (917) 830-2098

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 7, 2023 Accepting new patients
Back Pocket Physical Therapy LLC Physical Therapist Current Accepting new patients
Jumpstart Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Feb 24, 2026 Accepting new patients
Baylor College of Medicine CurrentSince Feb 24, 2026 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 7, 2023 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

Organizations & group practices 10

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1275934838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 ALCORN BAYOU DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793209",
            "telephone_number": "832-876-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 ALCORN BAYOU DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793209",
            "telephone_number": "832-876-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1249417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.