Individual provider Active NPI

Kristi Pena, PT

  • Physical Therapist
  • Humble, TX
National Provider Identifier
1972057776
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1277879 Issued in TX
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

Updated by the provider on Aug 28, 2020

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160920000599 TX Practitioner - Physical Therapist in Private Practice 5799072732 Reassigns benefits to 1 organization

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
Theraworks IncGroup PAC ID 9133039647, 36 clinicians

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

LicenseStateTypeSpecialty
1277879TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Inc Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Jun 1, 2025 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.

Verify at the official NPI Registry.