Organization Active NPI

KTK Transport LLC

Doing business as Recover Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Round Rock, TX
National Provider Identifier
1508612326
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KTK TRANSPORT LLC
Doing business as
Recover Medical Transport
Practice address
5616 Bellissima Way
Round Rock, TX 78665-2667
Phone
(703) 459-6629
NPI assigned
Apr 24, 2024
Last updated
May 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2024

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

Authorized official

Name
Kidus T Kidankal
Title
Owner
Phone
(703) 459-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5616 Bellissima Way
Round Rock, TX 78665-2667

Mailing address

5616 Bellissima Way
Round Rock, TX 78665-2667
Phone (703) 459-6629

Other names 1

  • RECOVER MEDICAL TRANSPORT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716681600000",
    "number": "1508612326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 BELLISSIMA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652667",
            "telephone_number": "703-459-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 BELLISSIMA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652667",
            "telephone_number": "703-459-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTK TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "KIDANKAL",
        "authorized_official_first_name": "KIDUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-459-6629"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RECOVER MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RECOVER MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; 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.