Active NPI
Kaitlyn Anderson, PT
- Physical Therapist
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1379172
- Practice address
- 2241 Peggy LN Ste C
Garland, TX 75042-5709 - Phone
- (972) 272-9643
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 1379172 | TX | Primary |
Addresses
Primary practice location
2241 Peggy LN Ste C
Garland, TX 75042-5709
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8UU723 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2241 Peggy LN
Suite C
Garland, TX 75042-5709
Phone (972) 272-9643
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.17 of 100
- Quality
- 45.78
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 68.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1379172 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Today of Lubbock LP | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Today of Lubbock LP | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Today of Lubbock, LP | Physical Therapist | Current | Accepting new patients |
Locations
2241 Peggy Ln
Ste C
Garland, TX 75042
Phone (972) 272-9643
4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329
2431 S Loop 289
Lubbock, TX 79423
Phone (806) 771-7661
3007 Ridge Rd
Rockwall, TX 75032
Phone (469) 887-1021
Organizations & group practices 3
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
- Lubbock, TX
- NPI 1235169590
-
- Physical Therapist
- Garland, TX
- NPI 1548938608
-
- Physical Therapist
- Amarillo, TX
- NPI 1083321558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1639953813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 PEGGY LN STE C",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425709",
"telephone_number": "972-272-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KAITLYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1379172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8UU723",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.