Kavitha Salomi Amaresan, M.S.PT
Individual provider Active NPI Physical Therapist · Denton, TX
NPI 1669954715 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1669954715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1189880 (TX)
- Practice address
- 401 N Elm St
Denton, TX 76201-4137 - Phone
- (940) 387-4496
- Fax
- (940) 380-2429
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189880 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1189880 | TX | Yes |
Addresses
Primary practice location
401 N Elm St
Denton, TX 76201-4137
Mailing address
26335 Cedar Pine Dr
Katy, TX 77494-5781
Phone (930) 818-2767
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.