Active NPI
Kristen Marie Sewell, PT
- Physical Therapist
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1061471
- 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, 2022
- 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 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksewell441103@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1061471 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Health Texas Provider Network | Physical Therapist | Current | 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.
-
- Physical Therapist
- Greenville, TX
- NPI 1891239430
-
- Physical Therapist
- Irving, TX
- NPI 1144701624
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
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.