Individual provider Active NPI

Ted Kern, P.T.

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1629065594
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1073161 Issued in TX
Practice address
331 Las Colinas Blvd E
Irving, TX 75039-5556
Phone
(972) 401-0300
Fax
(972) 257-0429
NPI assigned
Oct 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1073161 TX Primary

Addresses

Primary practice location

331 Las Colinas Blvd E
Irving, TX 75039-5556

Mailing address

910 Hills Creek Dr
McKinney, TX 75070-5232
Phone (972) 486-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110603000448 TX Practitioner - Physical Therapist in Private Practice 8022099985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

2758 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 681-1155

435 W President George Bush Hwy
Ste 100
Richardson, TX 75080
Phone (214) 383-9930

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629065594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HILLS CREEK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705232",
            "telephone_number": "972-486-3115",
            "fax_number": "972-486-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395556",
            "telephone_number": "972-401-0300",
            "fax_number": "972-257-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "TED",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1073161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 13, 2026; 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.

Verify at the official NPI Registry.