Active NPI
Kristi Pena, PT
- Physical Therapist
- Humble, TX
National Provider Identifier
1972057776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1277879
- Practice address
- 18648 McKay Boulevard
210
Humble, TX 77338 - Phone
- (281) 540-0307
- Fax
- (281) 540-0310
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1277879 | TX | Primary |
Addresses
Primary practice location
18648 McKay Boulevard
210
Humble, TX 77338
Mailing address
18648 McKay Boulevard
Suite 210
Humble, TX 77338-3959
Phone (281) 540-0307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2637 Lazy Bend St
Suite 101
Pearland, TX 77581-1007
Phone (281) 485-4144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1277879 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
Locations
2637 Lazy Bend St
Ste 101
Pearland, TX 77581
Phone (281) 485-4144
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": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1972057776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18648 MCKAY BOULEVARD",
"address_2": "SUITE 210",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383959",
"telephone_number": "281-540-0307",
"fax_number": "281-540-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18648 MCKAY BOULEVARD",
"address_2": "210",
"city": "HUMBLE",
"state": "TX",
"postal_code": "77338",
"telephone_number": "281-540-0307",
"fax_number": "281-540-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "KRISTI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1277879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.