Kirsten Nicole Redfern, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1407133 Issued in TX

Practice address

4501 Heritage Trace Pkwy Ste 121
Fort Worth, TX 76244-8941

Phone

(817) 379-1400

Fax

(817) 379-1404

NPI assigned

Jun 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1679467187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 HERITAGE TRACE PKWY STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448941",
            "telephone_number": "817-379-1400",
            "fax_number": "817-379-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFERN",
        "first_name": "KIRSTEN",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veenadhari T Reddy, MS, RD, LD
• Christiana Nicole Redeaux, LCSW
• Glenda Marie Redeemer, RN
• David E Redelsperger, RPH, DPH
• Redemption Behavioral Solutions Counseling
• Tiffany Masters Redfern, M.D.
• Rediclinic US, LLC
• Thomas Allen Redman
• Mark William Redrow, MD
• Robert Joseph Reeb Jr., MD

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.