Active NPI
Kenneth John Trzecki, PT, OCS
- Physical Therapist
- Humble, TX
National Provider Identifier
1841349016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1167711
- Practice address
- 7155 Atascocita Rd
Humble, TX 77346-5014 - Phone
- (281) 812-8304
- Fax
- (281) 812-8306
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1167711 | TX | Primary |
Addresses
Primary practice location
7155 Atascocita Rd
Humble, TX 77346-5014
Mailing address
7155 Atascocita Rd
Humble, TX 77346-5014
Phone (281) 812-8304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167711 | Other | TX | TX STATE PT LICENSE NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167711 | TX | MD | Physical Therapist |
| 4316 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Institute of Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Sports Institute of Physical Therapy | Past | Accepting new patients | |
| Southwest Therapy Specialists, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Humble, TX
- NPI 1093809725
-
- Physical Therapy Clinic/Center
- Humble, TX
- NPI 1952576035
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1871647289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841349016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 ATASCOCITA RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773465014",
"telephone_number": "281-812-8304",
"fax_number": "281-812-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 ATASCOCITA RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773465014",
"telephone_number": "281-812-8304",
"fax_number": "281-812-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRZECKI",
"first_name": "KENNETH",
"middle_name": "JOHN",
"credential": "PT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1167711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE PT LICENSE NUMBE",
"identifier": "1167711",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.