Individual provider Active NPI

Kimberly E Dockery, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1790002939
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1075729 Issued in TX
Practice address
5331 Hamilton Wolfe Rd
San Antonio, TX 78229-4420
Phone
(210) 690-9505
Fax
(210) 690-9505
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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 1075729 TX Primary

Addresses

Primary practice location

5331 Hamilton Wolfe Rd
San Antonio, TX 78229-4420

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958
Phone (800) 911-9782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000882 TX Practitioner - Physical Therapist in Private Practice 7315227220 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1075729TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 30, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1790002939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-911-9782",
            "fax_number": "610-438-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 HAMILTON WOLFE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294420",
            "telephone_number": "210-690-9505",
            "fax_number": "210-690-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1075729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.