Individual provider Active NPI

Runtai Xu, DPT, PT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1992499461
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1377615 Issued in TX
Practice address
23780 Highway 59 N
Kingwood, TX 77339-1529
Phone
(281) 358-1838
Fax
(281) 358-1812
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 1377615 TX Primary

Addresses

Primary practice location

23780 Highway 59 N
Kingwood, TX 77339-1529

Mailing address

24619 Bardona Way
Richmond, TX 77406-5013
Phone (813) 327-3356

Other practice location 1

24619 Bardona Way
Richmond, TX 77406-5013
Phone (813) 327-3356

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377615TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Nov 26, 2024 Accepting new patients
Lake Houston Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 26, 2024 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Nov 26, 2024 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Past Accepting new patients

Locations

15201 Mason Rd
Ste 800
Cypress, TX 77433
Phone (713) 609-9224

13215 Grant Rd
Ste 900
Cypress, TX 77429
Phone (832) 220-9211

7840 FM 1960 Rd E
Ste 408
Humble, TX 77346
Phone (281) 812-6665

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

6318 FM 1488 Rd
Ste 150
Magnolia, TX 77354
Phone (936) 273-0808

18001 Highway 105 W
Ste 106
Montgomery, TX 77356
Phone (936) 582-2464

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

28533 Spring Trails Rdg
Ste 112
Spring, TX 77386
Phone (281) 301-5090

11709 Boudreaux Rd
Tomball, TX 77375
Phone (281) 358-1838

Organizations & group practices 6

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1992499461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24619 BARDONA WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065013",
            "telephone_number": "813-327-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23780 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391529",
            "telephone_number": "281-358-1838",
            "fax_number": "281-358-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24619 Bardona Way",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774065013",
            "country_code": "US",
            "telephone_number": "813-327-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "RUNTAI",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1377615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.