Individual provider Active NPI

Kristen Marie Auth, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1407012974
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1235097 Issued in TX
Practice address
6930 Harris Pkwy Ste 120
Fort Worth, TX 76132-4272
Phone
(817) 885-0668
Fax
(817) 887-5875
NPI assigned
Aug 4, 2008
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 1235097 TX Primary

Addresses

Primary practice location

6930 Harris Pkwy Ste 120
Fort Worth, TX 76132-4272

Mailing address

6930 Harris Pkwy Ste 120
Fort Worth, TX 76132-4272
Phone (908) 370-7165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828001307 TX Practitioner - Physical Therapist in Private Practice 0749356814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

110 Mary Lou Dr
Suite 100
Willow Park, TX 76087-8767
Phone (817) 423-5611

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Bonnette Elite Physical Therapy and Wellness Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6930 Harris Pkwy
Ste 120
Fort Worth, TX 76132
Phone (817) 779-1822

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

9660 Bartlett Cir
Ste 708
Ft Worth, TX 76108
Phone (817) 862-9665

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1407012974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "908-370-7165",
            "fax_number": "817-887-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "817-885-0668",
            "fax_number": "817-887-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTH",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1235097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.