DR. KELSEY PATRICIA GREEN (PT, DPT) – Orthopedic Physical Therapist, NPI 1053082073

DR. KELSEY PATRICIA GREEN (PT, DPT) is a healthcare provider. based in Round rock, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1350516 (TX). The NPI Number for DR. KELSEY PATRICIA GREEN (PT, DPT) is 1053082073

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELSEY PATRICIA GREEN (PT, DPT)
NPI
1053082073
Phone
(737) 237-0046
Address
300A UNIVERSITY BLVD
Enumeration Date
21 September 2021
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8307741556
Graduation Year
2021 (5 years ago)
PAC ID
4880088533
Group Practice PAC ID
1658705942
Professional Enrollment ID
I20220223002205
Address ID
TX788407818DE1308XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DR. KELSEY PATRICIA GREEN (PT, DPT)

  • 300A UNIVERSITY BLVD

    ROUND ROCK, TX 786651032

    Phone: (737) 237-0046

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220223002205IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes62483$0
97530Therapy procedure using functional activities55683$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40578$0
97150Therapy procedure in a group setting5525$0
97140Therapy procedure using manual technique, each 15 minutes5320$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658705942View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the registry number for DR. KELSEY PATRICIA GREEN (PT, DPT)?
The registry entry for DR. KELSEY PATRICIA GREEN (PT, DPT) shows NPI 1053082073.
Quick check: is DR. KELSEY PATRICIA GREEN (PT, DPT) active?
Public NPPES data shows DR. KELSEY PATRICIA GREEN (PT, DPT) with an active NPI status right now.
What services align with DR. KELSEY PATRICIA GREEN (PT, DPT)'s listing?
DR. KELSEY PATRICIA GREEN (PT, DPT)'s public classification highlights Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KELSEY PATRICIA GREEN (PT, DPT)?
DR. KELSEY PATRICIA GREEN (PT, DPT) is associated with Round Rock, Texas in the same public data insurers reference.
Can I export DR. KELSEY PATRICIA GREEN (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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