Kennedy Rose Dierckman, PT, DPT - Medicare Physical Therapist in Georgetown, TX

Kennedy Rose Dierckman, PT, DPT is a medicare enrolled "Physical Therapist - Pediatrics" provider in Georgetown, Texas. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. Her current practice location is 700 Sun Grove Trl, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (949) 212-3650.

Kennedy Rose Dierckman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558168013.

Contact Information

Kennedy Rose Dierckman, PT, DPT
700 Sun Grove Trl,
Georgetown, TX 78628-3737
(949) 212-3650
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKennedy Rose Dierckman
GenderFemale
SpecialityPhysical Therapist In Private Practice
Experience2 Years
Location700 Sun Grove Trl, Georgetown, Texas
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kennedy Rose Dierckman graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1558168013
  • Provider Enumeration Date: 03/03/2025
  • Last Update Date: 03/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648777896
  • Enrollment ID: I20251007000190

Medical Identifiers

Medical identifiers for Kennedy Rose Dierckman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558168013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedy Rose Dierckman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kennedy Rose Dierckman, PT, DPT
700 Sun Grove Trl,
Georgetown, TX 78628-3737

Ph: (949) 212-3650
Kennedy Rose Dierckman, PT, DPT
700 Sun Grove Trl,
Georgetown, TX 78628-3737

Ph: (949) 212-3650

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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