Individual provider Active NPI

Kessa Kupec

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1538030127
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407120 Issued in TX
Practice address
1104 Stratford CV
Round Rock, TX 78664-7334
Phone
(512) 774-8746
NPI assigned
Sep 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 1407120 TX Primary

Addresses

Primary practice location

1104 Stratford CV
Round Rock, TX 78664-7334

Mailing address

1104 Stratford CV
Round Rock, TX 78664-7334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112001147 TX Practitioner - Physical Medicine and Rehabilitation 6002392875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2025
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

State licenses

LicenseStateTypeSpecialty
1407120TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Austin Physical Therapy, LLC Physical Therapist CurrentSince Dec 7, 2025 Accepting new patients

Locations

12151 W Parmer Ln
Ste 201
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 1

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1538030127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 STRATFORD CV",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 STRATFORD CV",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647334",
            "telephone_number": "512-774-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPEC",
        "first_name": "KESSA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.