IndividualActive
Victoria Kennerly, PTA
NPI 1275200529 · Physical Therapy Assistant · Conroe, TX
Provider details
- NPI number
- 1275200529
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2096448 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2956 I-45 North
Suite 500
Conroe, TX 77303
Phone: (936) 441-4422
Fax: (936) 441-4427
Approximate (ZIP-level) locationGet directions
Mailing address
143 Robison Rd
Coldspring, TX 77331-7229
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.