Active NPI
The Vicktory Institute of Physical Therapy and Performance, LLC.
- Physical Therapy Clinic/Center
- Leander, TX
National Provider Identifier
1700509965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THE VICKTORY INSTITUTE OF PHYSICAL THERAPY AND PERFORMANCE, LLC.
- Practice address
- 824 Isaias Dr
Leander, TX 78641-3386 - Phone
- (512) 818-4925
- NPI assigned
- Sep 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsy Vick, DPT
- Title
- Physical Therapist
- Phone
- (512) 818-4925
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
824 Isaias Dr
Leander, TX 78641-3386
Mailing address
824 Isaias Dr
Leander, TX 78641-3386
Phone (512) 818-4925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Other names 1
- Kinetique
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Austin, TX
- NPI 1083227037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1700509965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 ISAIAS DR",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413386",
"telephone_number": "512-818-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 ISAIAS DR",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413386",
"telephone_number": "512-818-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VICKTORY INSTITUTE OF PHYSICAL THERAPY AND PERFORMANCE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "VICK",
"authorized_official_first_name": "KELSY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "512-818-4925",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "824 Isaias Dr",
"city": "Leander",
"state": "TX",
"country_code": "US",
"postal_code": "786413386",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kinetique",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.