Active NPI
Kathlene Camp, PT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1922439231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1136687
- Practice address
- 855 Montgomery St
Fort Worth, TX 76107-2553 - Phone
- (817) 735-2660
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1136687 | TX | Primary |
Addresses
Primary practice location
855 Montgomery St
Fort Worth, TX 76107-2553
Mailing address
PO Box 99335
Fort Worth, TX 76199-0335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 897T80 | Other | TX | BCBS |
| 140986402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 76.45
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136687 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| University of North Texas Health Science Center at Fort Worth | Current | Accepting new patients | |
| Cleburne Physical Therapy & Sports Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3500 Camp Bowie Blvd
#1
Ft Worth, TX 76107
Phone (817) 735-0310
855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334
Interoperability endpoints
- kathlene.camp.p1@direct.unthsc.nextgenshare.com
Organizations & group practices 6
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Worth, TX
- NPI 1376645564
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1053416289
-
- Family Medicine Physician
- Dallas, TX
- NPI 1639843790
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1659473056
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1699870998
-
- Physical Therapist
- Cleburne, TX
- NPI 1205800802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1922439231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99335",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MONTGOMERY ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-735-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMP",
"first_name": "KATHLENE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1136687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "897T80",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140986402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.