Active NPI
Kathleen Doepfner
- Physical Therapist
- Dallas, TX
National Provider Identifier
1710410063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1048668
- Practice address
- 4717 Sugar Mill Rd
Dallas, TX 75244-6931 - Phone
- (214) 675-4639
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 1048668 | TX | Primary |
Addresses
Primary practice location
4717 Sugar Mill Rd
Dallas, TX 75244-6931
Mailing address
4717 Sugar Mill Rd
Dallas, TX 75244-6931
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": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1710410063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 SUGAR MILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 SUGAR MILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446931",
"telephone_number": "214-675-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEPFNER",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1048668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.