Active NPI
Kimberlee P Adams, PTA
- Physical Therapy Assistant
- Katy, TX
National Provider Identifier
1497219869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2103018
- Practice address
- 23553 W Fernhurst Dr
Katy, TX 77494-0686 - Phone
- (281) 394-1300
- Fax
- (281) 394-1301
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2103018 | TX | Primary |
Addresses
Primary practice location
23553 W Fernhurst Dr
Katy, TX 77494-0686
Mailing address
16727 FM 362 Rd
Waller, TX 77484-7916
Phone (801) 648-2715
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 |
|---|---|---|---|
| 2103018 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1497219869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16727 FM 362 RD",
"city": "WALLER",
"state": "TX",
"postal_code": "774847916",
"telephone_number": "801-648-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23553 W FERNHURST DR",
"city": "KATY",
"state": "TX",
"postal_code": "774940686",
"telephone_number": "281-394-1300",
"fax_number": "281-394-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KIMBERLEE",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2103018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.