Kelly Jean Detherage, PTA
Physical Therapy Assistant · Weatherford, TX
Kelly Jean Detherage, PTA is a physical therapy assistant with a practice address in Weatherford, Texas, and NPI 1245543966, issued on Jul 22, 2010. Check the license (Texas 2076950, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Jean Detherage
- Credential
- PTA
- Primary taxonomy
- Physical Therapy Assistant 225200000X
- License number
- 2076950 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1201 Holland Lake Drive, Weatherford, TX 76086
- Phone
- (817) 613-9699
- Enumerated
- Jul 22, 2010
- Record last updated
- Jul 22, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (817) 594-9786
- Entity
- Type 1 · individual
8 nearest physical therapy assistant records → All 5,519 in Texas → Look up another NPI →
Verify Kelly Jean Detherage in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license 2076950Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Jean Detherage among 5,519 physical therapy assistant records in Texas
Kelly Jean Detherage, PTA is one of 5,519 physical therapy assistant records with a practice address in Texas. under 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 13% of them.
- NPI issued2010 · 13% of these records are older, 86% newer
- In a Medicare fileNo · under 1% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2010 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225200000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
55 physical therapy assistant records list a practice address in Weatherford
They are 55 of the 899 NPPES records with a practice address in Weatherford, and 5,519 physical therapy assistant records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5,519 in Texas → Every provider in Weatherford → Physical Therapy Assistant nationwide →
The 8 physical therapy assistant records with the nearest ZIP codes
- Melinda BarefootWeatherford, TX 760861265919617
- Enrique Jr BucoyWeatherford, TX 760861710368709
- Phyllis Butler, PTA ASSOCIATEWeatherford, TX 760861205082880
- Bratina CruseWeatherford, TX 760861285111625
- Alexis DessellesWeatherford, TX 760861275010621
- Rebecca FloresWeatherford, TX 760861538647433
- Fran Freed, PTAWeatherford, TX 760861851781140
- Deborah HachtelWeatherford, TX 760861639656093
Common questions
What is Kelly Jean Detherage, PTA's NPI number?
Kelly Jean Detherage, PTA's National Provider Identifier (NPI) is 1245543966, issued on Jul 22, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Jean Detherage, PTA located?
The NPPES record lists a practice address at 1201 Holland Lake Drive, Weatherford, TX, 76086. Phone: (817) 613-9699. Providers update this record themselves, so call before visiting.
How can I verify Kelly Jean Detherage, PTA's license?
NPPES lists Texas license number 2076950, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.