Kaylene Killingsworth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1088961 Issued in TX

Practice address

102 N Beech St
Woodville, TX 75979-4718

Phone

(409) 283-2554

Fax

(409) 283-8446

NPI assigned

Dec 30, 2013

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lambeth Physical Therapy PLLCGroup PAC ID 4284061474, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lambeth Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Woodville, TX
  • NPI 1548808215
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1497176960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S MAGNOLIA ST",
            "address_2": "STE 800",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795672",
            "telephone_number": "409-283-2554",
            "fax_number": "409-283-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2554",
            "fax_number": "409-283-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGSWORTH",
        "first_name": "KAYLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1088961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homecare Solutions of East Texas, Inc.
• J & S Ambulance Service, Inc. (dogwood ems)
• Jacqueline a Corkin DC
• Jessalyn Nicole Jones, APRN
• Elizabeth Allison Kenesson
• Lyndsey Nicole Kinard
• Lambeth Physical Therapy PLLC
• Matthew S Lambeth, PT, DPT
• Carol Elizabeth Linstrom, LPC
• Justin Robert Livingston, DDS

• Physical Therapist in Woodville, TX
• Providers in Woodville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.