Active NPI
Kyndall M Brownsworth, DPT
- Physical Therapist
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1335819
- Practice address
- 5100 Franklin Ave Ste C
Waco, TX 76710-6922 - Phone
- (254) 732-5981
- Fax
- (254) 754-2667
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 1335819 | TX | Primary |
Addresses
Primary practice location
5100 Franklin Ave Ste C
Waco, TX 76710-6922
Mailing address
5100 Franklin Ave Ste C
Waco, TX 76710-6922
Phone (254) 732-5981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528606357 | Other | PENDING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kbrownsworth@elitesportswaco.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 S 10TH St
Suite 130
Waco, TX 76706-1384
Phone (254) 294-5924
1428 Wooded Acres Dr
Suite 132
Waco, TX 76710-4466
Phone (254) 262-3322
2450 E Prosper TRL
Suite 10
Prosper, TX 75078-9845
Phone (972) 347-9735
2452 W Loop
340 Suite B
Waco, TX 76711-2405
Phone (254) 265-9988
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1335819 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Multi-Specialty | Current | Accepting new patients |
| Athletico LTD | Multi-Specialty | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
1701 Hewitt Dr
Waco, TX 76712
Phone (254) 294-5950
Organizations & group practices 2
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.
-
dba Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
Multi-Specialty, TX
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1538770664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 FRANKLIN AVE STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767106922",
"telephone_number": "254-732-5981",
"fax_number": "254-754-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 FRANKLIN AVE STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767106922",
"telephone_number": "254-732-5981",
"fax_number": "254-754-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNSWORTH",
"first_name": "KYNDALL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1335819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING",
"identifier": "1528606357",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kbrownsworth@elitesportswaco.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dwise@elitesportswaco.com",
"address_1": "5100 Franklin Ave Ste C",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767106922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.