Individual provider Active NPI

Cheree Nicole Kiser, PT

  • Physical Therapist
  • Decatur, TX
National Provider Identifier
1912613423
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1333723 Issued in TX
Practice address
220 W. Side Drive #300
Decatur, TX 76234
Phone
(254) 965-2040
Fax
(254) 965-7394
NPI assigned
Jan 27, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 1333723 TX Primary

Addresses

Primary practice location

220 W. Side Drive #300
Decatur, TX 76234

Mailing address

2269 Northwest Loop
Stephenville, TX 76401-1701
Phone (254) 965-2040

Other identifiers 1

IdentifierTypeStateIssuer
1333723OtherTXPTOT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address accounting@sportsrehabpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404002956 TX Practitioner - Physical Therapist in Private Practice 1951776947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephenville Sports Rehab and Physical Therapy LLCGroup PAC ID 8123295706, 21 clinicians
Cerda Pediatric and Neuro Physical Therapy PLLCGroup PAC ID 9638513252, 4 clinicians
Rise Therapy Services PLLCGroup PAC ID 3375924913, 3 clinicians

Practice addresses (Care Compare)

141 College Park Dr
Weatherford, TX 76086-5653
Phone (817) 341-3600

1650 S Hwy 287
Decatur, TX 76234-2437
Phone (940) 627-6290

1903 Doctors Hospital Dr
Suite 2
Bridgeport, TX 76426-2276
Phone (940) 394-3727

5129 E Interstate 20 Service Rd N
Willow Park, TX 76087-3217
Phone (817) 441-5500

7824 Landers LN
Fort Worth, TX 76135-9007
Phone (214) 587-4994

800 W Wise St
Suite C
Bowie, TX 76230-4742
Phone (940) 366-0657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1333723TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince May 5, 2024 Accepting new patients
Rise Therapy Services PLLC Physical Therapist CurrentSince May 16, 2025 Accepting new patients
Cerda Pediatric & Neuro Physical Therapy PLLC Physical Therapist CurrentSince Mar 14, 2024 Accepting new patients
Stephenville Sports Rehab & Physical Therapy, LLC Physical Therapist CurrentSince Mar 8, 2023 Accepting new patients
Vista Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

800 W Wise St
#C
Bowie, TX 76230
Phone (940) 242-4400

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

1650 S Highway 287
Decatur, TX 76234
Phone (940) 627-6290

220 Westside Dr
Ste 300
Decatur, TX 76234
Phone (254) 965-2040

901 Medical Center Dr
#100
Decatur, TX 76234
Phone (940) 290-0273

1121 Flower Mound Rd
Ste 540
Flower Mound, TX 75028
Phone (972) 355-5200

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

2269 Senator Robert J Glasgow Loop
Stephenville, TX 76401
Phone (254) 965-2040

141 College Park Dr
Weatherford, TX 76086
Phone (817) 241-5136

Interoperability endpoints

  • Direct secure messaging: accounting@sportsrehabpt.com

Organizations & group practices 5

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1912613423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W. SIDE DRIVE #300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "CHEREE",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1333723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTOT",
            "identifier": "1333723",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "accounting@sportsrehabpt.com",
            "affiliation": "N",
            "address_1": "220 W. Side Drive #300",
            "city": "Decatur",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.