Active NPI
Katilyn M Tierney
- Physical Therapist
- Houston, TX
National Provider Identifier
1679098255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1295742
- Practice address
- 6621 Fannin St
Houston, TX 77030-2358 - Phone
- (832) 824-1000
- NPI assigned
- Aug 4, 2017
- 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 | 1295742 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
1215 W 25TH St Unit B
Houston, TX 77008-2475
Other practice location 1
2900 Woodridge Dr Ste 300
Houston, TX 77087-2506
Phone (713) 741-5800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1295742 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Winter & Associates Pediatric Therapy Centers, LTD | Past | Accepting new patients | |
| M Winter & Associates Pediatric Rehabilitation Center Inc | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Katy, TX
- NPI 1891728085
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1205874773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577836800000",
"number": "1679098255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 W 25TH ST UNIT B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [
{
"address_1": "2900 Woodridge Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770872506",
"country_code": "US",
"telephone_number": "713-741-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIERNEY",
"first_name": "KATILYN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1295742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.