Individual provider Active NPI

Katelyn Marie Jungman, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1376264556
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1368042 Issued in TX
Practice address
21727 W Interstate 10 Ste 110
San Antonio, TX 78257-2108
Phone
(210) 314-1402
Fax
(210) 530-1309
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 1368042 TX Primary

Addresses

Primary practice location

21727 W Interstate 10 Ste 110
San Antonio, TX 78257-2108

Mailing address

8627 Cinnamon Creek Dr Ste 402
San Antonio, TX 78240-1482
Phone (210) 253-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922003190 TX Practitioner - Physical Therapist in Private Practice 3577948868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21727 Ih 10 W
Suite 110
San Antonio, TX 78257-2108
Phone (210) 314-1402

Merit-based Incentive Payment System (MIPS)

Final score
63.18 of 100Reported as group
Quality
59.83
Improvement activities
20
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Sep 9, 2022 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Sep 9, 2022 Accepting new patients

Locations

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

8627 Cinnamon Creek Dr
Ste 402
San Antonio, TX 78240
Phone (210) 372-9600

21727 W Interstate 10
Ste 110
San Antonio, TX 78257
Phone (210) 314-1402

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1376264556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-253-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 W INTERSTATE 10 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-314-1402",
            "fax_number": "210-530-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGMAN",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1368042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.