P Praxis·MD
● Active Type 1 · Individual

Kennedy Rose Dierckman, PT, DPT

Physical Therapist·Georgetown, TX· NPI 1558168013 · Enumerated 2025 · 1 years on NPI
Dierckman is 1 of 4 physical therapist providers in Georgetown and 1 of 684 in Texas.
NPI age
1 years
Enumerated 2025-03-03
Primary specialty
Physical Therapist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 684 active physical therapist providers in Texas.

NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
700 Sun Grove Trl
Georgetown, TX 786283737
📞 9492123650
Mailing address
700 Sun Grove Trl
Georgetown, TX 786283737
📞 9492123650

Specialties

  • Physical Therapist Primary
    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
    taxonomy 2251P0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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