IndividualActive
Katy Wedgeworth
NPI 1679052617 · Physical Therapy Assistant · Tyler, TX
Provider details
- NPI number
- 1679052617
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2140818 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1401 Rice Rd
Tyler, TX 75703-3233
Phone: (903) 561-6060
Street-level locationGet directions
Mailing address
421 S Bonner St
Jacksonville, TX 75766-2330
Additional practice locations (1)
- 421 S Bonner StJacksonville, TX 75766-2330Phone: (903) 589-9871
Registry dates
- Enumerated
- 2018-08-10
- Last updated
- 2018-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.