Individual provider Active NPI

Kajal Singh

  • Physical Therapist
  • Goldthwaite, TX
National Provider Identifier
1366922189
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1329195 Issued in TX
Practice address
Hillview Skilled Care
1110 Rice Street
Goldthwaite, TX 76844
Phone
(325) 648-2247
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2136658 TX
Physical Therapist 225100000X 1329195 TX Primary

Addresses

Primary practice location

Hillview Skilled Care
1110 Rice Street
Goldthwaite, TX 76844

Mailing address

6060 Fairmont Pkwy Apt 10305
Pasadena, TX 77505-4079
Phone (716) 341-8762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208001562 TX Practitioner - Physical Therapist in Private Practice 2567876352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theramedic Rehab and Physical Therapy LLCGroup PAC ID 1557640737, 2 clinicians

Practice addresses (Care Compare)

12603 Southwest Fwy
Suite 101
Stafford, TX 77477-3841
Phone (281) 495-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136658TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harone, PA CurrentSince Nov 5, 2020 Accepting new patients
Theramedic Rehab and Physical Therapy LLC CurrentSince Nov 5, 2020 Accepting new patients

Locations

17320 Red Oak Dr
Ste 102
Houston, TX 77090
Phone (281) 895-6351

24217 Kingsland Blvd
Katy, TX 77494
Phone (281) 644-2010

12603 Southwest Fwy
Ste 101
Stafford, TX 77477
Phone (281) 495-8258

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1366922189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 FAIRMONT PKWY APT 10305",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054079",
            "telephone_number": "716-341-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLVIEW SKILLED CARE",
            "address_2": "1110 RICE STREET",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KAJAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2136658",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1329195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldthwaite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.