Individual provider Active NPI

Kelly J Fech, PT, DPT

  • Physical Therapist
  • Cleburne, TX
National Provider Identifier
1376919191
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1261441 Issued in TX
Practice address
220 N Ridgeway Dr Ste a
Cleburne, TX 76033-4148
Phone
(817) 774-5002
Fax
(817) 774-5034
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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 1261441 TX Primary

Addresses

Primary practice location

220 N Ridgeway Dr Ste a
Cleburne, TX 76033-4148

Mailing address

6106 Portico Dr Apt 1126
Fort Worth, TX 76132-4173
Phone (575) 649-4359

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928000347 TX Practitioner - Physical Therapist in Private Practice 5698083558 Reassigns benefits to 2 organizations

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
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1651 W Rosedale
200 Privia Med GRP N TX
Fort Worth, TX 76104-7437
Phone (817) 335-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleburne Family Medicine Associates, PLLC CurrentSince Nov 15, 2019 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Aug 9, 2021 Accepting new patients
Texas Health Care, P.L.L.C. Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Huguley, Inc. Past Accepting new patients

Locations

220 N Ridgeway Dr
Ste A
Cleburne, TX 76033
Phone (817) 556-4151

209 Saint Louis Ave
Fort Worth, TX 76104
Phone (713) 907-6507

1651 W Rosedale St
Ste 200
Ft Worth, TX 76104
Phone (817) 335-4316

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: kelly.fech.p1@direct.thc.nextgenshare.com

Organizations & group practices 5

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": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1376919191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 PORTICO DR APT 1126",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324173",
            "telephone_number": "575-649-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N RIDGEWAY DR STE A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334148",
            "telephone_number": "817-774-5002",
            "fax_number": "817-774-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECH",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.