Jessie Koenck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1298688 Issued in TX

Practice address

10803 Burgess Park CT
Cypress, TX 77433-2523

Phone

(281) 782-8505

NPI assigned

Nov 21, 2017

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Outperformance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1043878523
  NPD

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1699289058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 BURGESS PARK CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332523",
            "telephone_number": "281-782-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 BURGESS PARK CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332523",
            "telephone_number": "281-782-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENCK",
        "first_name": "JESSIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Knight, OD
• Christy Taylor Knowles, PNP-PC
• Elizabeth Knowlton
• Joshua Adam Knox, PH.D.
• Elena Alberta Knutson, LCSW
• Lauretta Kooper, DNP, APRN, NP, CNS
• Markus Kopa, DDS
• Katrina Korenek
• Kamal Kishore Korkonda, PT
• Adenike Kotun

• Physical Therapist in Cypress, TX
• Providers in Cypress, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.