Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle James Waldman

Individual provider Physical Therapist · NPI 1295541878

Kyle James Waldman is a Physical Therapist in Private Practice in Manvel, Texas. Qualified in 2024, 2 years ago. Practices with Theraworks Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024

Practice location Address checks out

5119 Prairie Gourd Mdw
Manvel, TX 77578-4072
Phone: (585) 721-9934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1402811 (TX)

Record details

NPI number1295541878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 8, 2024
Mailing address5119 Prairie Gourd Mdw, Manvel, TX 77578-4072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Theraworks Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manvel