Individual provider Active NPI

Kimberly Wilkowski Mauer

  • Physical Therapy Assistant
  • Ft Worth, TX
National Provider Identifier
1588071997
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2161762 Issued in TX
Practice address
5500 Overton Ridge Blvd Ste 228
Ft Worth, TX 76132-3281
Phone
(817) 259-1255
Fax
(817) 764-9008
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA24970 FL
Physical Therapy Assistant 225200000X 2161762 TX Primary

Addresses

Primary practice location

5500 Overton Ridge Blvd Ste 228
Ft Worth, TX 76132-3281

Mailing address

5500 Overton Ridge Blvd Ste 228
Ft Worth, TX 76132-3281
Phone (817) 259-1255

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

LicenseStateTypeSpecialty
PTA24970FLMDPhysical Therapy Assistant
2161762TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ratner Center for Physical Therapy and Wellness, LLC PastSince Jul 16, 2018 Accepting new patients
Sportherapy LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1588071997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "KIMBERLY",
        "middle_name": "WILKOWSKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24970",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2161762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.