Individual provider Active NPI

Hillary Hummel-Kerbs, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1285288373
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1304737 Issued in TX
Practice address
4750 Bryant Irvin Rd N
Fort Worth, TX 76107-7641
Phone
(817) 923-9000
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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 1304737 TX Primary

Addresses

Primary practice location

4750 Bryant Irvin Rd N
Fort Worth, TX 76107-7641

Mailing address

6509 Stockton Dr
Fort Worth, TX 76132-5062

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

State licenses

LicenseStateTypeSpecialty
1304737TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportcare Rehabilitation Inc Physical Therapist CurrentSince Dec 16, 2020 Accepting new patients
CPT Specialty Group LLC PastSince Aug 6, 2019 Accepting new patients

Locations

4750 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 923-9000

Organizations & group practices 2

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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1285288373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 STOCKTON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761325062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 BRYANT IRVIN RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077641",
            "telephone_number": "817-923-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL-KERBS",
        "first_name": "HILLARY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.