Individual provider Active NPI

Kevin Klecka, DPT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1841697877
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1248779 Issued in TX
Practice address
1055 Margate Dr
Pearland, TX 77584-3356
Phone
(678) 233-7261
NPI assigned
Nov 19, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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 1248779 TX Primary

Addresses

Primary practice location

1055 Margate Dr
Pearland, TX 77584-3356

Mailing address

1055 Margate Dr
Pearland, TX 77584-3356
Phone (678) 233-7261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921001164 TX Practitioner - Physical Therapist in Private Practice 9133470693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabatherapy ServicesGroup PAC ID 5991788101, 10 clinicians

Practice addresses (Care Compare)

3818 Decker Dr
Baytown, TX 77520-1662
Phone (281) 424-7557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cabatherapy Services Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
Caba Therapy Services Physical Therapist PastSince Sep 20, 2024 Accepting new patients
Oakbend Medical Center PastSince Jul 1, 2018 Accepting new patients

Locations

3818 Decker Dr
Baytown, TX 77520

605 W Clayton St
Ste H
Dayton, TX 77535
Phone (832) 307-7966

9855 Eagle Dr
Ste 170
Mont Belvieu, TX 77523
Phone (832) 307-7966

25311 Interstate 45
Ste B
The Woodlands, TX 77380

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAGCD/Endpoint/BBAGCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1841697877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MARGATE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843356",
            "telephone_number": "678-233-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MARGATE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843356",
            "telephone_number": "678-233-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1248779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.