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NPI Code Detail

MEDICARE: KAITLYN NICOLE BAGBY PT, DPT

MEDICARE: KAITLYN NICOLE BAGBY PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist309959CA
2225100000XPhysical TherapistCP048793TNC
3225100000XPhysical Therapist1406784TX

General Provider Information

NPI Number : 1699566513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN NICOLE BAGBY PT, DPT
Provider Business Mailing Address
First Line : 6815 ANTIQUE CEDAR LN
Second Line :
City : SPRING
State : TX
Zip : 77389-1407
Country : US
Telephone Number : 281-825-6733
Fax Number :
Provider Business Practice Location Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 05/06/2026

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Directions to “ KAITLYN NICOLE BAGBY PT, DPT” Practice Location

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