Individual provider Active NPI

Kalie Entler, PT, DPT

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1699493247
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1364332 Issued in TX
Practice address
23910 Katy Fwy
Katy, TX 77494-1395
Phone
(281) 500-6100
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1364332 TX Primary

Addresses

Primary practice location

23910 Katy Fwy
Katy, TX 77494-1395

Mailing address

777 Dunlavy St Apt 5106
Houston, TX 77019-1962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003001770 FL Practitioner - Physical Therapist in Private Practice 6608220009 Reassigns benefits to 1 organization

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
Coltman and Baughman Physical Therapy PAGroup PAC ID 6305063488, 10 clinicians

Practice addresses (Care Compare)

14797 Philips Hwy
Suite 205
Jacksonville, FL 32256-3746
Phone (904) 853-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1364332TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coltman and Baughman Physical Therapy PA CurrentSince Sep 28, 2023 Accepting new patients
Coltman and Baughman Physical Therapy PA CurrentSince Sep 28, 2023 Accepting new patients

Locations

14797 Philips Hwy
Ste 205
Jacksonville, FL 32256

14797 Philips Hwy
#205
Jacksonville, FL 32256
Phone (904) 853-5106

350 13th Ave S
Jax Bch, FL 32250
Phone (904) 853-5106

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1699493247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 DUNLAVY ST APT 5106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23910 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941395",
            "telephone_number": "281-500-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTLER",
        "first_name": "KALIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.