Individual provider · Type 1 NPI

Kidist Mekonnen, PTA

Physical Therapy Assistant · Houston, TX

NPI number 1720588635 Active

Practice location

10425 Huffmeister Rd Ste 320
Houston, TX 77065-3429

Mailing address

15826 Ironside Creek Dr
Houston, TX 77053-3413

Other practice locations

  • 15826 Ironside Creek Dr, Houston, TX 77053-3413 · (832) 277-2555

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2135929 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1720588635

Kidist Mekonnen, PTA's National Provider Identifier is 1720588635, issued on Feb 16, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Houston, TX. The record was last updated on Jun 10, 2025.