NPIMap

Organization Active NPI

Katy Proactive Physical Therapy Centers, LLC

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1790163558
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KATY PROACTIVE PHYSICAL THERAPY CENTERS, LLC
Practice address
23010 Highland Knolls Blvd
Ste G
Katy, TX 77494-8345
Phone
(281) 665-3271
Fax
(281) 665-3273
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Keith Blasingame, PT
Title
President
Phone
(281) 665-3271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

23010 Highland Knolls Blvd
Ste G
Katy, TX 77494-8345

Mailing address

3322 Waters Edge Dr
Manvel, TX 77578-7806
Phone (281) 665-3271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1790163558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 WATERS EDGE DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775787806",
            "telephone_number": "281-665-3271",
            "fax_number": "281-665-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23010 HIGHLAND KNOLLS BLVD",
            "address_2": "STE G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948345",
            "telephone_number": "281-665-3271",
            "fax_number": "281-665-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY PROACTIVE PHYSICAL THERAPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-665-3271",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.