Active NPI
Brenda Luanne Kinzler, PT, DPT
- Physical Therapist
- Weatherford, TX
National Provider Identifier
1760949069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1316144
- Practice address
- 965 Hilltop Dr
Weatherford, TX 76086-5845 - Phone
- (817) 594-7636
- NPI assigned
- Feb 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1316144 | TX | Primary |
Addresses
Primary practice location
965 Hilltop Dr
Weatherford, TX 76086-5845
Mailing address
5701 Tracyne Dr
Westworth Village, TX 76114-4215
Phone (817) 797-0081
Other practice location 1
4120 Heritage Trace Pkwy Ste 220
Fort Worth, TX 76244-5309
Phone (817) 498-8585
Other practice location 2
1580 US 287 Frontage Road
Mansfield, TX 76063
Phone (682) 205-8735
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- brenda.kinzler.p1@direct.thc.nextgenshare.com
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1760949069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 TRACYNE DR",
"city": "WESTWORTH VILLAGE",
"state": "TX",
"postal_code": "761144215",
"telephone_number": "817-797-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 HILLTOP DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865845",
"telephone_number": "817-594-7636"
}
],
"practiceLocations": [
{
"address_1": "4120 Heritage Trace Pkwy Ste 220",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762445309",
"country_code": "US",
"telephone_number": "817-498-8585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1580 US 287 Frontage Road",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "76063",
"country_code": "US",
"telephone_number": "682-205-8735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINZLER",
"first_name": "BRENDA",
"middle_name": "LUANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-23",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1316144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.