Active NPI
Kimberly Caballero Sevilla, PT, DPT
- Physical Therapist
- Pharr, TX
National Provider Identifier
1720739261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5205 N Winona Dr Apt 2
Pharr, TX 78577-2550 - Phone
- (669) 203-4534
- NPI assigned
- Jan 17, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1748524 | WI | |
| Physical Therapist | 225100000X | 1308843 | TX | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5205 N Winona Dr Apt 2
Pharr, TX 78577-2550
Mailing address
5205 N Winona Dr Apt 2
Pharr, TX 78577-2550
Phone (669) 203-4534
Other practice location 1
411 N 3rd Ave
Wausau, WI 54401-4449
Phone (715) 679-6417
Other names 1
- Kimberly Caballero Chan
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 |
|---|---|---|---|
| 1308843 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saldana Supply Co. LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Rehabilitation Medicine Physician
- Harlingen, TX
- NPI 1013200401
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1720739261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 N WINONA DR APT 2",
"city": "PHARR",
"state": "TX",
"postal_code": "785772550",
"telephone_number": "669-203-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 N WINONA DR APT 2",
"city": "PHARR",
"state": "TX",
"postal_code": "785772550",
"telephone_number": "669-203-4534"
}
],
"practiceLocations": [
{
"address_1": "411 N 3rd Ave",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544014449",
"country_code": "US",
"telephone_number": "715-679-6417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVILLA",
"first_name": "KIMBERLY",
"middle_name": "CABALLERO",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1748524",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1308843",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CHAN",
"middle_name": "CABALLERO",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.