Active NPI
Kaelynn Van Winkle
- Physical Therapist
- Houston, TX
National Provider Identifier
1700938727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 17270 Red Oak Dr Ste 180
Houston, TX 77090-2632 - Phone
- (281) 440-7625
- NPI assigned
- Jan 18, 2007
- 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 | Primary |
Addresses
Primary practice location
17270 Red Oak Dr Ste 180
Houston, TX 77090-2632
Mailing address
4107 Lou Anne LN
Houston, TX 77092-5136
Phone (713) 956-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1171310 | Other | TX | LICENSE# |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700938727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 LOU ANNE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770925136",
"telephone_number": "713-956-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 RED OAK DR STE 180",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902632",
"telephone_number": "281-440-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WINKLE",
"first_name": "KAELYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "1171310",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Laura Marie Van Veldhoven, PH.D., M.P.H.
- Katherine Nicole Van Wagenen, D.C.
- Ellen Bright Van Wart, LPC
- Kimi Lauren Van Wie, MS, CPO, LPO
- Tracy Annette Van Wieren, ANP - C
- Morgan Scott Van Winkle, RPSGT
- Albertus Johannes Van Wyk, DO
- David Scott Van Zandt, DDS
- Olivia Marie Van Zijill, CCC-SLP
- An Van, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.