Kelli Halbert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1330572 Issued in TX

Practice address

5608 Mountain Island Dr
Fort Worth, TX 76179-1909

Phone

(903) 217-3504

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164
  NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1942823133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 MOUNTAIN ISLAND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791909",
            "telephone_number": "903-217-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 MOUNTAIN ISLAND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791909",
            "telephone_number": "903-217-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERT",
        "first_name": "KELLI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1330572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "WHITE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Michelle Haitz, RN
• Dahir Haji
• Brian Adam Hajovsky, M.D.
• Haley Jade Hajovsky
• Molly Regal Halbach, M.S., CCC-SLP
• Saadi Mohy Aldeen Halbouni, MD
• Cameron Hale
• Crystal Hale, LCDC
• Cynthia Lea Hale, LVN
• Joshua Hale, ATC

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.