Nemwel Siriba Kebati, PTA

Individual provider Active NPI Physical Therapy Assistant · Anna, TX

NPI 1740199512 · NPPES record last updated Sep 5, 2026

Key facts

NPI
1740199512
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2150668 (TX)
Practice address
713 Thackery St
Anna, TX 75409-2661
Phone
(214) 609-2045
NPI assigned
Sep 5, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
225200000X 2150668 TX Yes

Addresses

Primary practice location

713 Thackery St
Anna, TX 75409-2661

Mailing address

713 Thackery St
Anna, TX 75409-2661
Phone (214) 609-2045

Other providers in Anna, TX

All providers in Anna, TX · Physical Therapy Assistant in Texas

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.