Kelsey Palacios

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1348739 Issued in TX

Practice address

1365 W University Blvd
Odessa, TX 79764-7121

Phone

(432) 580-0011

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Palacios Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phytex Rehabilitation, LLCGroup PAC ID 7012016959, 10 clinicians

City of Midland Aquatics IncGroup PAC ID 6002816881, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phytex Rehabilitation, LLC

  dba PhyTEx Rehabilitation & Sports Medicine Associates

  • Physical Therapist
  • Odessa, TX
  • NPI 1053405977

  Single Specialty

  Medicare reassignment Care Compare group NPD
• City of Midland Aquatics Inc

  • Physical Therapist
  • Midland, TX
  • NPI 1881705747
  Medicare reassignment Care Compare group
• Phytex Rehabilitation, LLC

  dba Physical Therapy Extra - Pampa

  • Physical Therapist
  • Pampa, TX
  • NPI 1285171678

  Single Specialty

  NPD
• Phytex Rehabilitation, LLC

  dba PhyTEx Rehabilitation & Sports Medicine Associates

  • Physical Therapist
  • Humble, TX
  • NPI 1366937591

  Single Specialty

  NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1295302867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HANOVER DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612239",
            "telephone_number": "432-550-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797647121",
            "telephone_number": "432-580-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hanover Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797612239",
            "country_code": "US",
            "telephone_number": "432-550-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4409 W Wadley Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797075328",
            "country_code": "US",
            "telephone_number": "432-617-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1348739",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3126999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PALACIOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Henderson Owens
• Augustine Kojo Owusu-Adade, NP
• Ernest Pack
• Bailey Lillian McCawley Page, M.S.CCC-SLP
• Omeed Paknejad, MD
• Lindsey Nicole Palmer, MS CCC-SLP
• Pamela a. McQuillin, M.D., P.a. (OB/GYN - Total HealthCare for Women)
• Pamela S. Cunningham, M.D., P.a.
• Madhu Pamganamamula, MD
• Neha Bharadwaj Panchagnula, MBBS

• Physical Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.