Individual provider Active NPI

Kervins Delphonse, PT, DPT

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1982203840
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1384870 Issued in TX
Practice address
663 Jordan St
Shreveport, LA 71101-4748
Phone
(318) 222-8882
Fax
(318) 222-8893
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11746R LA
Physical Therapist 225100000X PT36227 FL
Physical Therapist 225100000X 1384870 TX Primary

Addresses

Primary practice location

663 Jordan St
Shreveport, LA 71101-4748

Mailing address

10 Oak CT Apt 5211
Houston, TX 77006-1666
Phone (786) 547-7237

Other practice location 1

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220707000612 FL Practitioner - Physical Therapist in Private Practice 1951781038 Reassigns benefits to 1 organization
I20231211003761 TX Practitioner - Physical Therapist in Private Practice 1951781038 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologix Sports Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 30, 2023 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Age Victoriously LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Activerx, Inc. Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Physiologix Sports Physical Therapy LLC Physical Therapist PastSince Sep 8, 2024 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Jun 3, 2024 Accepting new patients

Locations

1625 N Miami Ave
Ste 101
Miami, FL 33136
Phone (305) 902-6644

9531 NE 2nd Ave
Ste 101
Miami Shores, FL 33138
Phone (305) 902-6644

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

2323 S Shepherd Dr
Ste 100
Houston, TX 77019
Phone (480) 304-5656

4060 Bissonnet St
Ste 34A
Houston, TX 77005
Phone (832) 377-5968

7880 San Felipe St
Ste 200
Houston, TX 77063
Phone (832) 377-5968

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 9

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1982203840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK CT APT 5211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061666",
            "telephone_number": "786-547-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8882",
            "fax_number": "318-222-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13645 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331811617",
            "country_code": "US",
            "telephone_number": "305-949-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELPHONSE",
        "first_name": "KERVINS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11746R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36227",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1384870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.