Active NPI
Deborah Lynn Kaeser
- Physical Therapy Assistant
- Kingwood, TX
National Provider Identifier
1407028327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2026219
- Practice address
- 3902 Brook Shadow Dr
Kingwood, TX 77345-1224 - Phone
- (281) 319-4499
- NPI assigned
- Apr 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2026219 | TX | Primary |
| Physical Therapy Assistant | 225200000X | 06002598A | IN |
Addresses
Primary practice location
3902 Brook Shadow Dr
Kingwood, TX 77345-1224
Mailing address
3902 Brook Shadow Dr
Kingwood, TX 77345-1224
Phone (281) 319-4499
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 |
|---|---|---|---|
| 06002598A | IN | MD | Physical Therapy Assistant |
| 2026219 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1407028327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 BROOK SHADOW DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451224",
"telephone_number": "281-319-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 BROOK SHADOW DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451224",
"telephone_number": "281-319-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAESER",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2026219",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002598A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.