Active NPI
Kylee Jackovich
- Physical Therapist
- Cypress, TX
National Provider Identifier
1649016254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1389972
- Practice address
- 26084 Northwest Fwy Ste 140
Cypress, TX 77429-1003 - Phone
- (832) 349-1168
- NPI assigned
- Jul 2, 2024
- 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 | 1389972 | TX | Primary |
Addresses
Primary practice location
26084 Northwest Fwy Ste 140
Cypress, TX 77429-1003
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
16835 Deer Creek Dr Ste 120
Spring, TX 77379-5803
Phone (281) 643-0808
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)
26084 NW Fwy 140
Results Physiotherapy
Cypress, TX 77429-1003
Phone (832) 349-1168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389972 | TX | MD | Physical Therapist |
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 and National Provider Directory roles.
-
- Physical Therapist
- Prosper, TX
- NPI 1700271913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1649016254",
"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",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26084 NORTHWEST FWY STE 140",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291003",
"telephone_number": "832-349-1168"
}
],
"practiceLocations": [
{
"address_1": "16835 Deer Creek Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773795803",
"country_code": "US",
"telephone_number": "281-643-0808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKOVICH",
"first_name": "KYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1389972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.