Active NPI
Kayla McCreary, PT
- Physical Therapist
- Anna, TX
National Provider Identifier
1700546116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3128112
- Practice address
- 2100 W White St Ste 290
Anna, TX 75409-5180 - Phone
- (760) 602-4182
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3128112 | TX | Primary |
Addresses
Primary practice location
2100 W White St Ste 290
Anna, TX 75409-5180
Mailing address
114 Wood St Unit a
Princeton, TX 75407-5531
Phone (214) 693-7227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3128112 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1700546116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WOOD ST UNIT A",
"city": "PRINCETON",
"state": "TX",
"postal_code": "754075531",
"telephone_number": "214-693-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W WHITE ST STE 290",
"city": "ANNA",
"state": "TX",
"postal_code": "754095180",
"telephone_number": "760-602-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREARY",
"first_name": "KAYLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3128112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.