Active NPI
Kimberly Whitcher, DPT
- Physical Therapist
- Harper, TX
National Provider Identifier
1780259028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1264541
- Practice address
- 23717 W US 290
Harper, TX 78631 - Phone
- (512) 618-7498
- NPI assigned
- May 20, 2021
- Last updated
- Sep 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1264541 | TX | |
| Physical Therapy Clinic/Center | 261QP2000X | 1264541 | ||
| Physical Therapist | 225100000X | 1264541 | TX | Primary |
Addresses
Primary practice location
23717 W US 290
Harper, TX 78631
Mailing address
500 Reverse R Rd
Harper, TX 78631-5181
Phone (512) 618-7498
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kimwhitcher500@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Plaza Dr
Kerrville, TX 78028-2230
Phone (830) 460-9364
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1264541 | TX | MD | Physical Therapy Clinic/Center |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powerback Rehabilitation
- Physical Therapist
- North Richland Hills, TX
- NPI 1427454164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1780259028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 REVERSE R RD",
"city": "HARPER",
"state": "TX",
"postal_code": "786315181",
"telephone_number": "512-618-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23717 W US 290",
"city": "HARPER",
"state": "TX",
"postal_code": "78631",
"telephone_number": "512-618-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCHER",
"first_name": "KIMBERLY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "1264541",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": "1264541",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1264541",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kimwhitcher500@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23717 W US 290",
"city": "Harper",
"state": "TX",
"country_code": "US",
"postal_code": "78631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.