Individual provider Active NPI

Branden Westerdahl, PT

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1780156851
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3122445 Issued in TX
Practice address
20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3318
Phone
(832) 698-0111
Fax
(832) 698-0112
NPI assigned
Dec 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3122445 TX Primary

Addresses

Primary practice location

20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3318

Mailing address

11051 Lafferty Oaks St
Houston, TX 77013-5519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025000411 TX Practitioner - Physical Therapist in Private Practice 1850623729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Ridge Orthopaedics and Sports Medicine LLCGroup PAC ID 8325089055, 43 clinicians

Practice addresses (Care Compare)

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
67.43
Promoting interoperability
100
Improvement activities
40
Cost
69.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3122445TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC CurrentSince Sep 1, 2019 Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Current Accepting new patients

Locations

20639 Kuykendahl Rd
Ste 200
Spring, TX 77379
Phone (832) 698-0111

6767 Lake Woodlands Dr
#F
The Woodlands, TX 77382
Phone (281) 364-1122

Interoperability endpoints

  • Direct secure messaging: branden.westerdahl.1@1066.direct.athenahealth.com

Organizations & group practices 2

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": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1780156851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 LAFFERTY OAKS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770135519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20639 KUYKENDAHL RD STE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793318",
            "telephone_number": "832-698-0111",
            "fax_number": "832-698-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERDAHL",
        "first_name": "BRANDEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3122445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.