Active NPI
Kathleen Alexa Perry, D.C.
- Sports Physician Chiropractor
- Porter, TX
National Provider Identifier
1720284136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4213
- Practice address
- 25141 Bull Ridge Dr
Porter, TX 77365-6503 - Phone
- (832) 289-3808
- NPI assigned
- Jun 22, 2007
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4213 | CO | Primary |
Addresses
Primary practice location
25141 Bull Ridge Dr
Porter, TX 77365-6503
Mailing address
25141 Bull Ridge Dr
Porter, TX 77365-6503
Phone (832) 289-3808
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4213 | CO | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1720284136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25141 BULL RIDGE DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773656503",
"telephone_number": "832-289-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25141 BULL RIDGE DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773656503",
"telephone_number": "832-289-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KATHLEEN",
"middle_name": "ALEXA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "4213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.