Victoria Alysse Kunselman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1397205 Issued in TX

Practice address

5750 W Vickery Blvd Ste 110
Fort Worth, TX 76107-7448

Phone

(682) 382-4070

Fax

(682) 305-3815

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Physical Therapy, LLC

  • Physical Therapist
  • Prosper, TX
  • NPI 1700271913
  Medicare reassignment Care Compare group NPD
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist, TX

  Medicare reassignment NPD
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Wylie, TX
  • NPI 1861887069
  NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1639917149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W VICKERY BLVD STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077448",
            "telephone_number": "682-382-4070",
            "fax_number": "682-305-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3926 Teasley Ln Unit 105",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762108475",
            "country_code": "US",
            "telephone_number": "940-323-0441",
            "fax_number": "940-323-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNSELMAN",
        "first_name": "VICTORIA",
        "middle_name": "ALYSSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1397205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R Kunkel, M.D.
• Laura E Kunkel, MS, LAT, ATC, PES
• Laura S. Kunkel, MSN, APRN, NP-C
• Secret Kunkle, LVN
• Nayana Baby Kunnel, D.O.
• Dustin Taylor Kunz, PA-C
• Duy Kim Kuo, MD
• Mark P Kuper, D.O.
• Gabriel Alexander Kupovics, DO
• Mitchell C Kuppinger, MD

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.