Individual provider Active NPI

Kimberly Overgaard, PT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1851439533
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1076453 Issued in TX
Practice address
3425 Highway 6 Ste 101
Sugar Land, TX 77478-4439
Phone
(280) 980-1050
Fax
(281) 980-1348
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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 1076453 TX Primary

Addresses

Primary practice location

3425 Highway 6 Ste 101
Sugar Land, TX 77478-4439

Mailing address

4927 Glen Hollow St
Sugar Land, TX 77479-3804
Phone (281) 494-5179

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

LicenseStateTypeSpecialty
1076453TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Neck & Back Pain Clinic Past Accepting new patients
Harris Neck & Back Clinic, P.C. Past Accepting new patients

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1851439533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 GLEN HOLLOW ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793804",
            "telephone_number": "281-494-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6 STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784439",
            "telephone_number": "280-980-1050",
            "fax_number": "281-980-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERGAARD",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1076453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.