Individual provider Active NPI

Kirsten Harper, MPT

  • Physical Therapist
  • Helotes, TX
National Provider Identifier
1780692947
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1078723 Issued in TX
Practice address
12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone
(210) 372-9600
Fax
(210) 372-9923
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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 1078723 TX Primary

Addresses

Primary practice location

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689

Mailing address

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone (210) 372-9600

Other identifiers 2

IdentifierTypeStateIssuer
210665001MedicaidTX
8T4198OtherTXBLUE CROSS/SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000304 TX Practitioner - Physical Therapist in Private Practice 1254348485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17006 San Pedro Ave
San Antonio, TX 78232-2231
Phone (210) 490-4738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Rehabilitation Specialists Inc Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients
Liberty Rehabilitation Specialists Inc Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients

Locations

17006 San Pedro Ave
San Antonio, TX 78232
Phone (210) 490-4738

2130 NE Loop 410
Ste 212
San Antonio, TX 78217
Phone (210) 656-5848

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1780692947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KIRSTEN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1078723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210665001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "8T4198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.