Individual provider Active NPI

Dezirae Robinson, DPT

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1669116406
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
17220 N RM 620 Rd Ste 110
Round Rock, TX 78681-3913
Phone
(512) 527-6007
Fax
(512) 399-2287
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2297040401 MI
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

17220 N RM 620 Rd Ste 110
Round Rock, TX 78681-3913

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

9640 Commerce Rd Ste 202
Commerce Township, MI 48382-4168
Phone (248) 360-9881

Other practice location 2

10 W Square Lake Rd Ste 10
Bloomfield Hills, MI 48302-0465
Phone (248) 335-6263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drobinson@direct.MediTouchEHR.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002325 TX Practitioner - Physical Therapist in Private Practice 0941687305 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
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

17220 N RM
620 Suite 110
Round Rock, TX 78681-3913
Phone (512) 527-6007

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
73.34
Promoting interoperability
64
Improvement activities
40
Cost
52.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2297040401MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Austin Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Aug 26, 2024 Accepting new patients
Specialists in Rehabilitation Medicine PC PastSince May 9, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

320 W William Cannon Dr
Austin, TX 78745
Phone (512) 371-7273

7801 N Lamar Blvd
Ste B174
Austin, TX 78752
Phone (512) 371-7273

1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298

17220 N Rm 620 Rd
Ste 110
Round Rock, TX 78681
Phone (512) 527-6007

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Interoperability endpoints

  • Direct secure messaging: drobinson@direct.meditouchehr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1669116406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 N RM 620 RD STE 110",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813913",
            "telephone_number": "512-527-6007",
            "fax_number": "512-399-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9640 Commerce Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483824168",
            "country_code": "US",
            "telephone_number": "248-360-9881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Square Lake Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020465",
            "country_code": "US",
            "telephone_number": "248-335-6263",
            "fax_number": "248-650-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DEZIRAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "2297040401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drobinson@direct.MediTouchEHR.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 W Square Lake Rd Ste 10",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483020465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 7, 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.