Active NPI
Konnar Kechely, PT, DPT
- Physical Therapist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1404632
- Practice address
- 1013 W University Ave Ste 335
Georgetown, TX 78628-5343 - Phone
- (512) 876-2111
- NPI assigned
- Feb 19, 2025
- Last updated
- Feb 26, 2025
- 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 | 1404632 | TX | Primary |
Addresses
Primary practice location
1013 W University Ave Ste 335
Georgetown, TX 78628-5343
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1013 W University Ave
Suite 335
Georgetown, TX 78628-5343
Phone (512) 876-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1404632 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
1013 W University Ave
Ste 335
Georgetown, TX 78628
Phone (512) 876-2111
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1710782032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 W UNIVERSITY AVE STE 335",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786285343",
"telephone_number": "512-876-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECHELY",
"first_name": "KONNAR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1404632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Karla K Chamberlain Therapy PLLC
- Jessica Kassise, OTR
- Paul Alex Katigbak, M.D.
- Katrina Fairchild, PLLC
- Kearn Dialysis LLC (Georgetown Dialysis)
- Jenna Kellogg, M.S., CCC-SLP
- Kelly M. Gonzales, DDS, PC (Star Smiles Pediatric Dentistry)
- Kelly M. McCabe, LPC-S, LMFT-S, PLLC
- Crystal Kelly, MD
- Mackenzie Kelly, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.