NPPES file of Aug 9, 2026

Kennedy Rose Dierckman, PT, DPT

Pediatric Physical Therapist · Georgetown, TX

Kennedy Rose Dierckman, PT, DPT is a pediatric physical therapist with a practice address in Georgetown, Texas, and NPI 1558168013, issued on Mar 3, 2025. Check the license with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1558168013
Name
Kennedy Rose Dierckman
Credential
PT, DPT
Primary taxonomy
Pediatric Physical Therapist 2251P0200X
Practice location
700 Sun Grove Trl, Georgetown, TX 78628
Phone
(949) 212-3650
Enumerated
Mar 3, 2025
Record last updated
Mar 3, 2025
Medicare enrollment
Enrolled (PECOS I20251007000190); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kennedy Rose Dierckman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Kennedy Rose Dierckman among 624 pediatric physical therapist records in Texas

Kennedy Rose Dierckman, PT, DPT is one of 624 pediatric physical therapist records with a practice address in Texas. 2% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 93% of them.

  • NPI issued2025 · 93% of these records are older, 2% newer
  • In a Medicare fileNo · 2% of these records are
  • In the CMS Doctors and Clinicians fileYes · 3% of these records are
  • Graduated2024 · median 2018 among the 16 with a school on file
  • Record last updated2025 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2251P0200X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Physical Therapist providers in Texas

There are 624 pediatric physical therapist records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 pediatric physical therapist records with the nearest ZIP codes

  1. Olivia Gorham, PT, DPTGeorgetown, TX 786281497369466
  2. Brian Gregory, PT, DPTGeorgetown, TX 786281942766357
  3. Adam MelcherGeorgetown, TX 786281982394763
  4. Sarah Biel, PTDripping Springs, TX 786201871724286
  5. Lorri French, MSPTDripping Springs, TX 786201326276908
  6. Katherine O'Neill, DPTDripping Springs, TX 786201780963322
  7. Darla White, PTDripping Springs, TX 786201336156157
  8. Cindy Fudman, PTCedar Park, TX 786131740314251

Common questions

What is Kennedy Rose Dierckman, PT, DPT's NPI number?

Kennedy Rose Dierckman, PT, DPT's National Provider Identifier (NPI) is 1558168013, issued on Mar 3, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Kennedy Rose Dierckman, PT, DPT located?

The NPPES record lists a practice address at 700 Sun Grove Trl, Georgetown, TX, 78628. Phone: (949) 212-3650. Providers update this record themselves, so call before visiting.

How can I verify Kennedy Rose Dierckman, PT, DPT's license?

Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.