Kelli Badeaux, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2090212 Issued in TX

Practice address

8000 Frankford Rd
Dallas, TX 75252-6834

Phone

(972) 232-8096

Fax

(972) 656-3439

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1427401157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FRANKFORD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526834",
            "telephone_number": "972-232-8096",
            "fax_number": "972-656-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FRANKFORD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526834",
            "telephone_number": "972-232-8096",
            "fax_number": "972-656-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEAUX",
        "first_name": "KELLI",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2090212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wali Badar, MD.MS
• Mohamed Badawy, M.D.
• Jessica Badders, PHARM D
• John David Baddour Jr.
• Sueanne Elizabeth Baddour, DNP, APRN, FNP
• Joyce Ann Bader-Rogers, PH.D.
• Razan Munzer Bader, MD
• Adedamola Simbiat Badewa, MD
• Brent G Badger, PA-C
• Brooke Badger, M.A., LPC-A

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.