Individual provider Active NPI

Kyarah Nissi Rogers, DPT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1699565572
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Buttercup Creek Blvd Ste 104
Cedar Park, TX 78613-3701
Phone
(512) 827-3601
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 TX Primary

Addresses

Primary practice location

200 Buttercup Creek Blvd Ste 104
Cedar Park, TX 78613-3701

Mailing address

6701 Burnet Rd Apt 428
Austin, TX 78757-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000454 TX Practitioner - Physical Therapist in Private Practice 1153816764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

2712 Bee Caves Rd
Suite 122a
Austin, TX 78746-5662
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BRTM-Ee LLC Physical Therapist CurrentSince May 18, 2025 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Sullivan Physical Therapy LLC Physical Therapist PastSince Mar 16, 2023 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

200 Buttercup Creek Blvd
Ste 104
Cedar Park, TX 78613
Phone (512) 827-3601

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1699565572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BURNET RD APT 428",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787570010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUTTERCUP CREEK BLVD STE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133701",
            "telephone_number": "512-827-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KYARAH",
        "middle_name": "NISSI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2025; 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.