Individual provider Active NPI

Carissa Monique Palacios, PT, DPT

  • Physical Therapist
  • Kingsville, TX
National Provider Identifier
1861325227
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408299 Issued in TX
Practice address
1114 N 14TH St
Kingsville, TX 78363-4069
Phone
(361) 500-6686
Fax
(361) 299-5882
NPI assigned
Jun 5, 2026
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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 1408299 TX Primary

Addresses

Primary practice location

1114 N 14TH St
Kingsville, TX 78363-4069

Mailing address

1726 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone (361) 500-6686

Other practice location 1

1726 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone (361) 500-6686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260628000036 TX Practitioner - Physical Therapist in Private Practice 0446723746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avila Physical TherapyGroup PAC ID 7911213855, 6 clinicians

Practice addresses (Care Compare)

1114 N 14TH St
Kingsville, TX 78363-4069
Phone (361) 500-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408299TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avila Physical Therapy CurrentSince Jun 15, 2026 Accepting new patients

Locations

1726 Braeswood Dr
Corpus Christi, TX 78412
Phone (361) 500-6686

1114 N 14th St
Kingsville, TX 78363
Phone (361) 500-6686

Organizations & group practices 1

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": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1861325227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 BRAESWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124584",
            "telephone_number": "361-500-6686",
            "fax_number": "361-299-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634069",
            "telephone_number": "361-500-6686",
            "fax_number": "361-299-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 Braeswood Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784124584",
            "country_code": "US",
            "telephone_number": "361-500-6686",
            "fax_number": "361-299-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "CARISSA",
        "middle_name": "MONIQUE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.