Active NPI
Kathy Debose, LMT
- Mechanotherapist
- Spring, TX
National Provider Identifier
1336389436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 103413
- Practice address
- 22221 Moss Falls LN
Spring, TX 77373-8725 - Phone
- (832) 438-9665
- NPI assigned
- Mar 2, 2009
- Last updated
- May 4, 2011
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 103413 | TX | Primary |
Addresses
Primary practice location
22221 Moss Falls LN
Spring, TX 77373-8725
Mailing address
22221 Moss Falls LN
Spring, TX 77373-8725
Phone (832) 438-9665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103413 | Other | TX | MECHANO THERAPIST |
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 |
|---|---|---|---|
| 103413 | TX | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1336389436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22221 MOSS FALLS LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773738725",
"telephone_number": "832-438-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22221 MOSS FALLS LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773738725",
"telephone_number": "832-438-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOSE",
"first_name": "KATHY",
"name_prefix": "Prof.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "TX",
"license": "103413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MECHANO THERAPIST",
"identifier": "103413",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.