Kelly J. Quaal, P.T., O.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1177880 Issued in TX

Practice address

879 Eureka St
Weatherford, TX 76086-5807

Phone

(817) 594-9200

Fax

(817) 594-9202

NPI assigned

Nov 5, 2010

Last updated

Nov 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1922309061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2306",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867306",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865807",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAAL",
        "first_name": "KELLY",
        "middle_name": "J.",
        "credential": "P.T., O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1177880",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Denae Procter
• Fayleen Marie Prosenick, MA, LPC-ASSOCIATE
• Prosperity Health
• Michael Steven Puhl, FNP
• Rhianna Dale Pultz
• Quest Diagnostics Clinical Laboratories Inc
• Cherie R. Quinn, TX. LAC.
• Jahel Quintana-Correa
• R J Ford MD PA
• Toni Rabalais, PHD

• Physical Therapist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.