Individual provider Active NPI

Roopesh Krishnamoorthy, PT

  • Orthopedic Physical Therapist
  • Houston, TX
National Provider Identifier
1336928621
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3131954 Issued in TX
Practice address
11450 Space Center Blvd Ste 201
Houston, TX 77059-3642
Phone
(281) 998-0901
NPI assigned
Sep 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3131954 TX Primary

Addresses

Primary practice location

11450 Space Center Blvd Ste 201
Houston, TX 77059-3642

Mailing address

907 W Viejo Dr
Friendswood, TX 77546-5836
Phone (425) 362-2466

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

LicenseStateTypeSpecialty
3131954TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Physical Therapy and Sports Rehabilitation, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

11450 Space Center Blvd
Ste 201
Houston, TX 77059
Phone (281) 988-0901

Organizations & group practices 1

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1336928621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W VIEJO DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465836",
            "telephone_number": "425-362-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 SPACE CENTER BLVD STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593642",
            "telephone_number": "281-998-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMOORTHY",
        "first_name": "ROOPESH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "3131954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.