Active NPI
Kimberly Cillis Trotter, DPT
- Sports Physical Therapist
- Spring, TX
National Provider Identifier
1649643867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 1197227
- Practice address
- 20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3318 - Phone
- (832) 698-0111
- NPI assigned
- Nov 10, 2015
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 1197227 | TX | Primary |
Addresses
Primary practice location
20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3318
Mailing address
20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3318
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197227 | TX | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1649643867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20639 KUYKENDAHL RD STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773793318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20639 KUYKENDAHL RD STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773793318",
"telephone_number": "832-698-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "KIMBERLY",
"middle_name": "CILLIS",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1197227",
"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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.