Active NPI
Kimberly Wright, PT,LAT,ATC,CWC
- Physical Therapist
- Pearland, TX
National Provider Identifier
1588709109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1074318
- Practice address
- 2727 Shelby Dr
Pearland, TX 77584-4998 - Phone
- (713) 446-1022
- Fax
- (281) 412-7221
- NPI assigned
- Feb 21, 2007
- 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 | 1074318 | TX | Primary |
Addresses
Primary practice location
2727 Shelby Dr
Pearland, TX 77584-4998
Mailing address
2727 Shelby Dr
Pearland, TX 77584-4998
Phone (713) 446-1022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1074318 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy Centers, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Pearland, TX
- NPI 1851454326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1588709109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 SHELBY DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844998",
"telephone_number": "713-446-1022",
"fax_number": "281-412-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 SHELBY DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844998",
"telephone_number": "713-446-1022",
"fax_number": "281-412-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "PT,LAT,ATC,CWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1074318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.