Individual provider Active NPI

Kandi S Pester, MPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1730299512
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7500 N Mesa St Ste 212
El Paso, TX 79912-3523
Phone
(915) 585-1888
Fax
(915) 585-1889
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NM#3299 NM
Physical Therapist 225100000X 3299 NM
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7500 N Mesa St Ste 212
El Paso, TX 79912-3523

Mailing address

4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600

Other practice location 1

8855 Viscount Blvd Ste E
El Paso, TX 79925-5812
Phone (915) 593-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000048 TX Practitioner - Physical Therapist in Private Practice 7416005590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tier 1 Physical Therapy and Sports Medicine PLLCGroup PAC ID 6406004308, 5 clinicians

Practice addresses (Care Compare)

7500 N Mesa St
Suite 212
El Paso, TX 79912-3523
Phone (915) 585-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NM#3299NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tier 1 Physical Therapy and Sports Medicine PLLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Thomas K. Waugh & Associates, P.C. Physical Therapist PastSince Jul 17, 2021 Accepting new patients
Buena Vida Physical Therapy and Wellness LLC PastSince Jun 1, 2008 Accepting new patients

Locations

4849 N Mesa St
Ste 201
El Paso, TX 79912

7500 N Mesa St
Ste 212
El Paso, TX 79912
Phone (915) 585-1888

8855 Viscount Blvd
Ste E
El Paso, TX 79925
Phone (915) 593-8555

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1730299512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N MESA ST STE 212",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123523",
            "telephone_number": "915-585-1888",
            "fax_number": "915-585-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8855 Viscount Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799255812",
            "country_code": "US",
            "telephone_number": "915-593-8555",
            "fax_number": "915-593-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESTER",
        "first_name": "KANDI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "NM#3299",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3299",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.

Verify at the official NPI Registry.