Individual provider Active NPI

Kaylee Faye Fairbanks, PT, DPT

  • Physical Therapist
  • Missouri City, TX
National Provider Identifier
1689392631
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
136449 Issued in TX
Practice address
5425 Highway 6 Ste D900
Missouri City, TX 77459-4384
Phone
(281) 208-9200
Fax
(281) 208-9210
NPI assigned
Aug 16, 2022
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1364449 TX
Physical Therapist 225100000X 136449 TX Primary

Addresses

Primary practice location

5425 Highway 6 Ste D900
Missouri City, TX 77459-4384

Mailing address

4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (281) 208-9200

Other practice location 1

4009 Bellaire Blvd Ste M
Houston, TX 77025-1168
Phone (713) 839-7800

Other practice location 2

11242 Fm 1960 Rd W Ste 104
Houston, TX 77065-3635
Phone (281) 469-8163

Other practice location 3

12727 Kimberley Ln Ste 104
Houston, TX 77024-4060
Phone (713) 365-9338

Other practice location 4

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

Other practice location 5

115 Fm 2453 Ste D
Royse City, TX 75189-7037
Phone (972) 771-8111

Other practice location 6

731 Woodbridge Pkwy Ste 100
Wylie, TX 75098-7165
Phone (972) 771-8111

Other practice location 7

325 Fm 548 Ste 100
Forney, TX 75126-6992
Phone (972) 771-8111

Other names 1

  • Kaylee Faye Hedricks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220905000179 TX Practitioner - Physical Therapist in Private Practice 8628452950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136449TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Orthopaedic Specialists of Dallas, PA Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Orthopaedic Specialists of Dallas, PA Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Star Therapy Centers Limited Partnership Physical Therapist Current Accepting new patients
Action Therapy Centers Limited Past Accepting new patients
Action Therapy Centers Limited Past Accepting new patients

Locations

325 FM 548
Ste 100
Forney, TX 75126
Phone (214) 771-4400

11242 FM 1960 Rd W
Ste 104
Houston, TX 77065
Phone (281) 469-8163

4009 Bellaire Blvd
Ste M
Houston, TX 77025
Phone (713) 839-7800

1301 Summer Lee Dr
Rockwall, TX 75032
Phone (214) 306-4116

115 FM 2453
Ste D
Royse City, TX 75189
Phone (214) 471-5750

200 N Virginia St
Terrell, TX 75160
Phone 97255174007500

731 Woodbridge Pkwy
Ste 100
Wylie, TX 75098

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1689392631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BELLAIRE BLVD STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251168",
            "telephone_number": "281-208-9200",
            "fax_number": "281-208-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 HIGHWAY 6 STE D900",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594384",
            "telephone_number": "281-208-9200",
            "fax_number": "281-208-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Bellaire Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251168",
            "country_code": "US",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11242 Fm 1960 Rd W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770653635",
            "country_code": "US",
            "telephone_number": "281-469-8163",
            "fax_number": "281-469-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12727 Kimberley Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770244060",
            "country_code": "US",
            "telephone_number": "713-365-9338",
            "fax_number": "713-365-9488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Summer Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325452",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Fm 2453 Ste D",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751897037",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "KAYLEE",
        "middle_name": "FAYE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1364449",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "136449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "HEDRICKS",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.

Verify at the official NPI Registry.