Individual provider Active NPI

Gail Diana Kaiser, PT

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1861661878
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1091312 Issued in TX
Practice address
1199 S Belt Line Rd Ste 140
Coppell, TX 75019-7610
Phone
(972) 745-9060
Fax
(972) 745-9069
NPI assigned
Feb 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 1091312 TX Primary

Addresses

Primary practice location

1199 S Belt Line Rd Ste 140
Coppell, TX 75019-7610

Mailing address

1199 S Belt Line Rd Ste 140
Coppell, TX 75019-7610
Phone (972) 745-9060

Other identifiers 1

IdentifierTypeStateIssuer
00171SOtherTXMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000148 TX Practitioner - Physical Therapist in Private Practice 9133208754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

1199 S Belt Line Rd
Suite 140
Coppell, TX 75019-7610
Phone (972) 745-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Hand Rehab, PC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients

Locations

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

1199 S Belt Line Rd
Ste 140
Coppell, TX 75019
Phone (972) 745-9060

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": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1861661878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD STE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197610",
            "telephone_number": "972-745-9060",
            "fax_number": "972-745-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD STE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197610",
            "telephone_number": "972-745-9060",
            "fax_number": "972-745-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "GAIL",
        "middle_name": "DIANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1091312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00171S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.