Individual provider Active NPI

Kelsey Robers

  • Physical Therapist
  • Azle, TX
National Provider Identifier
1144997685
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
613 Profit St
Azle, TX 76020-2421
Phone
(682) 453-7102
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

613 Profit St
Azle, TX 76020-2421

Mailing address

8085 Eagle Mountain Dr
Fort Worth, TX 76135-9151
Phone (682) 453-7102

Other practice location 1

245 W Main St
Azle, TX 76020-2927
Phone (817) 270-2975

Other practice location 2

965 Hilltop Dr
Weatherford, TX 76086-5845
Phone (817) 594-7636

Other identifiers 1

IdentifierTypeStateIssuer
1352599OtherTXPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000872 TX Practitioner - Physical Therapist in Private Practice 0244636405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
PTX Wellness and Performance Therapy Physical Therapist CurrentSince Mar 30, 2025 Accepting new patients
Sportherapy Southwest, PC Physical Therapist PastSince Aug 23, 2021 Accepting new patients

Locations

245 W Main St
Azle, TX 76020
Phone (817) 270-2975

613 Profit St
Azle, TX 76020
Phone (682) 453-7102

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1144997685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 EAGLE MOUNTAIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359151",
            "telephone_number": "682-453-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PROFIT ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202421",
            "telephone_number": "682-453-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 W Main St",
            "address_purpose": "LOCATION",
            "city": "Azle",
            "state": "TX",
            "postal_code": "760202927",
            "country_code": "US",
            "telephone_number": "817-270-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865845",
            "country_code": "US",
            "telephone_number": "817-594-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1352599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.