Individual provider Active NPI

Kristen Marie Sewell, PT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1538751698
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1061471 Issued in TX
Practice address
2021 N Macarthur Blvd Ste 210
Irving, TX 75061-2210
Phone
(468) 800-1000
NPI assigned
Feb 9, 2021
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1061471 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd Ste 210
Irving, TX 75061-2210

Mailing address

2021 N Macarthur Blvd Ste 210
Irving, TX 75061-2210
Phone (468) 800-1000

Other practice location 1

3601 Kales Ln
Flower Mound, TX 75022-7809
Phone (214) 287-3649

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksewell441103@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120001725 TX Practitioner - Physical Therapist in Private Practice 2769874965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061471TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 20, 2021 Accepting new patients
Health Texas Provider Network Physical Therapist CurrentSince Oct 20, 2021 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

2021 N MacArthur Blvd
Ste 210
Irving, TX 75061
Phone (469) 800-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1538751698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612210",
            "telephone_number": "468-800-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612210",
            "telephone_number": "468-800-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Kales Ln",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750227809",
            "country_code": "US",
            "telephone_number": "214-287-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1061471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksewell441103@direct.sw.org",
            "affiliation": "N",
            "address_1": "2021 N MacArthur Blvd Ste 210",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.