Kennedy Dierckman, PT, DPT
NPI 1558168013 · Pediatric Physical Therapist · Georgetown, TX
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy Dierckman, PT, DPT is a Pediatric Physical Therapist provider in Georgetown, TX (NPI 1558168013).
Provider details
- NPI number
- 1558168013
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-02
Frequently asked questions
- What is Kennedy Dierckman's NPI number?
- Kennedy Dierckman's National Provider Identifier (NPI) is 1558168013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Dierckman's specialty?
- Kennedy Dierckman is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kennedy Dierckman located?
- Kennedy Dierckman's practice location on file with NPPES is 700 Sun Grove Trl, Georgetown, TX 78628-3737.
- What is Kennedy Dierckman's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Dierckman is (949) 212-3650.
- Does Kennedy Dierckman accept Medicare?
- Kennedy Dierckman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kennedy Dierckman's NPI active?
- Yes — Kennedy Dierckman's NPI (1558168013) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.