Active NPI
Kelsie Lunning
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1992287726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1294303
- Practice address
- 20303 Stone Oak Pkwy Apt 4106
San Antonio, TX 78258-0005 - Phone
- (210) 621-4477
- NPI assigned
- Aug 29, 2018
- 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 | 1294303 | TX | Primary |
Addresses
Primary practice location
20303 Stone Oak Pkwy Apt 4106
San Antonio, TX 78258-0005
Mailing address
20303 Stone Oak Pkwy Apt 4106
San Antonio, TX 78258-0005
Phone (210) 621-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127098439001 | Other | TX | BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1294303 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1992287726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 STONE OAK PKWY APT 4106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782580005",
"telephone_number": "210-621-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 STONE OAK PKWY APT 4106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782580005",
"telephone_number": "210-621-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNNING",
"first_name": "KELSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1294303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "127098439001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.