Organization Active NPI

The Vicktory Institute of Physical Therapy and Performance, LLC.

  • Physical Therapy Clinic/Center
  • Leander, TX
National Provider Identifier
1700509965
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Kelsy Vick, DPTNPI 1083227037
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NAOtherNA

Other names 1

  • Kinetique Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.