Active NPI
Kate Elizabeth Groenhagen, PT, DPT
- Physical Therapist
- Mount Pleasant, TX
National Provider Identifier
1740880459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025182
- Practice address
- 2003 N Edwards Ave
Mount Pleasant, TX 75455-2010 - Phone
- (903) 572-5511
- NPI assigned
- Oct 30, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070025182 | TX | Primary |
Addresses
Primary practice location
2003 N Edwards Ave
Mount Pleasant, TX 75455-2010
Mailing address
225 Tennison Rd Apt 7108
Mount Pleasant, TX 75455-9366
Phone (815) 677-1699
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 |
|---|---|---|---|
| 070025182 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1740880459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 TENNISON RD APT 7108",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754559366",
"telephone_number": "815-677-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 N EDWARDS AVE",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552010",
"telephone_number": "903-572-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROENHAGEN",
"first_name": "KATE",
"middle_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "070025182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.