Individual provider Active NPI

Kelsey Patricia Green, PT, DPT

  • Orthopedic Physical Therapist
  • Round Rock, TX
National Provider Identifier
1053082073
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1350516 Issued in TX
Practice address
300A University Blvd
Round Rock, TX 78665-1032
Phone
(737) 237-0046
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1350516 TX Primary

Addresses

Primary practice location

300A University Blvd
Round Rock, TX 78665-1032

Mailing address

300A University Blvd
Round Rock, TX 78665-1032
Phone (737) 237-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223002205 TX Practitioner - Physical Therapist in Private Practice 4880088533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

1308 N Bedell Ave
Del Rio, TX 78840-7818
Phone (830) 774-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1350516TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Orthopedic CurrentSince Feb 28, 2022 Accepting new patients
DPT Holdings PLLC Orthopedic CurrentSince Sep 1, 2025 Accepting new patients
Bir JV LLP PastSince Sep 28, 2021 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

1308 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-1818

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

5108 McPherson Rd
Ste 3
Laredo, TX 78041
Phone (956) 726-4443

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1053082073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "737-237-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "737-237-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KELSEY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1350516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.