Individual provider Active NPI

Kristinna Marie Bogany

  • Physical Therapy Assistant
  • Spring, TX
National Provider Identifier
1619429099
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2071581 Issued in TX
Practice address
25132 Oakhurst Dr Ste 195
Spring, TX 77386-1465
Phone
(281) 298-5020
Fax
(281) 298-5021
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2071581 TX Primary

Addresses

Primary practice location

25132 Oakhurst Dr Ste 195
Spring, TX 77386-1465

Mailing address

16630 Roseglade Dr
Cypress, TX 77429-6920
Phone (713) 817-5148

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
2071581TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1619429099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 ROSEGLADE DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296920",
            "telephone_number": "713-817-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25132 OAKHURST DR STE 195",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861465",
            "telephone_number": "281-298-5020",
            "fax_number": "281-298-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGANY",
        "first_name": "KRISTINNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2071581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.