DR. KIMBERLY VICTORIA NOWOTNY (NPI# 1417472622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417472622 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY VICTORIA NOWOTNY |
| Credential | PT, DPT |
| Practice Address |
12605 East Fwy Ste 212 Houston TX 77015-5619 |
| Mailing Address |
1606 Lehman St Houston TX 77018-1218 |
| Practice Telephone | 7134530400 |
| Mailing Telephone | 7135826235 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1296062 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1296062 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12605 EAST FWY STE 212 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77015-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295835486 | Rebecca Lynn Phillips | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2006-09-25 |
| 1467084780 | Harmony-jane Smith | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2020-02-05 |
| 1265070114 | Nicole Schulte | Physical Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2019-12-11 |
| 1891347365 | Sherry Koshy | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2019-07-15 |
| 1851943799 | Mariana Cerda | Specialist/Technologist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2019-07-11 |
| 1396218756 | Alexandra Plagenhoef | Physical Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2019-01-09 |
| 1770065864 | Julia Tsai | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2018-09-05 |
| 1871075952 | Caitlyn Leal | Physical Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2018-09-05 |
| 1396227476 | Kaitlin Young | Occupational Therapist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2018-09-05 |
| 1346721511 | Alejandra Cepeda | Specialist/Technologist | 12605 East Fwy Ste 212, Houston, TX 77015-5619 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701061 | Elsa Marquez | Registered Nurse | 14223 Wadebridge Way, Houston, TX 77015 | 2018-08-28 |
| 1730544065 | Fresenius Medical Care Northeast Houston, LLC | Clinic/Center | 4810 E Sam Houston Pkwy N, Houston, TX 77015 | 2015-12-31 |
| 1316338650 | Candice Rogers | Physical Therapy Assistant | 13649 East Freeway, Houston, TX 77015 | 2015-02-09 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1114344249 | Annabel Maldonado-carrizales | Occupational Therapist | 12605 East Freeway, Suite 212, Houston, TX 77015 | 2014-03-26 |
| 1720326036 | Stephanie Frances Parlangeli | Occupational Therapist | 12605 East Fwy, Houston, Suite 200, Houston, TX 77015 | 2013-01-21 |
| 1700173887 | Karen Alicia Henry | Counselor | 331 Freeport Street, Houston, TX 77015 | 2011-07-08 |
| 1619298031 | Clinic 1 Care, Inc. | General Practice | 14225 East Freeway, Houston, TX 77015 | 2010-06-21 |
| 1043536303 | Alternative Learning LLC | Residential Treatment Facility, Physical Disabilities | 13214 Myrna Lane, Houston, TX 77015 | 2010-04-12 |
| 1205015237 | Open Hearts Home Health Care | Home Health | 14115 Woodwolf Ct, Houston, TX 77015 | 2007-10-26 |
| Find all providers in zip 77015 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1205304193 | Sarah Marguerite Finn | Physical Therapist | 1627 Hawthorne St, Houston, TX 77006-3715 | 2018-11-08 |
| 1952879041 | Colleen Rita White | Physical Therapist | 6621 Fannin St Fl Pm&r21, Houston, TX 77030-2399 | 2018-11-06 |
| 1689123598 | Twinkle Tykes Therapy | Physical Therapist | 7703 Misty Fern Ct, Houston, TX 77095-4450 | 2016-10-04 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1558774505 | Lyndsay Green | Physical Therapist | 8525 Merlin Dr, Houston, TX 77055-4836 | 2014-06-07 |
| 1104194224 | Maria Bural | Physical Therapist | 5209 Cornish St, Houston, TX 77007-1909 | 2011-12-03 |
| 1831475995 | Emily Berman | Physical Therapist | 4415 Lorinda Dr, Houston, TX 77018-1113 | 2011-11-02 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.