Individual provider Active NPI

Kelsey Tardif, PT, DPT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1497411409
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1355082 Issued in TX
Practice address
12151 W Parmer LN # B201
Cedar Park, TX 78613-2170
Phone
(512) 986-4468
NPI assigned
Nov 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 1355082 TX Primary

Addresses

Primary practice location

12151 W Parmer LN # B201
Cedar Park, TX 78613-2170

Mailing address

15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472
Phone (512) 986-4468

Other practice location 1

15609 Ronald W Reagan Blvd Bldg A130
Leander, TX 78641-1472
Phone (512) 986-4468

Other names 1

  • Kelsey McNaughton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227000425 TX Practitioner - Physical Therapist in Private Practice 2860862331 Reassigns benefits to 1 organization

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
North Austin Physical Therapy LLCGroup PAC ID 2961833298, 11 clinicians

Practice addresses (Care Compare)

15609 Ronald W Reagan Blvd
BLDG A130
Leander, TX 78641-1472
Phone (512) 971-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Austin Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Kelsey Tardif PT, LLC Current Accepting new patients

Locations

12151 W Parmer Ln
#B201
Cedar Park, TX 78613
Phone (512) 986-4468

15609 Ronald W Reagan Blvd
Bldg A130
Leander, TX 78641
Phone (512) 971-9445

Organizations & group practices 2

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": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1497411409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 RONALD W REAGAN BLVD BLDG A130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411472",
            "telephone_number": "512-986-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN # B201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132170",
            "telephone_number": "512-986-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15609 Ronald W Reagan Blvd Bldg A130",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786411472",
            "country_code": "US",
            "telephone_number": "512-986-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1355082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MCNAUGHTON",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.