ROGER KEN SETLIFF (P.T.) – Physical Therapist, NPI 1497806657

ROGER KEN SETLIFF (P.T.) is a healthcare provider. based in Coppell, Texas. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 1023976 (TX). The NPI Number for ROGER KEN SETLIFF (P.T.) is 1497806657

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROGER KEN SETLIFF (P.T.)
NPI
1497806657
Phone
(972) 745-7500
Address
601 CANYON DR STE 100
Enumeration Date
15 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725222200
Graduation Year
1979 (47 years ago)
PAC ID
8527047737
Group Practice PAC ID
2163403593
Professional Enrollment ID
I20040720000149
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ROGER KEN SETLIFF (P.T.)

  • Canyon Drive, Coppell, Dallas County, Texas, 75019, United States

    COPPELL, TX 750193860

    Phone: (972) 745-7500

    Fax: (972) 471-0700

    Type: Mailing

  • 3950 S CARRIER PKWY STE 110

    GRAND PRAIRIE, TX 750526671

    Phone: (972) 264-4287

    Fax: (972) 262-2027

    Type: Location

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: 2004-07-20

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
I20040720000149IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5426$0
97530Therapy procedure using functional activities2815$0
97140Therapy procedure using manual technique, each 15 minutes2217$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 75019)

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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: 2163403593View full group profile

Reviews

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Frequently asked questions

Is ROGER KEN SETLIFF (P.T.) listed with a National Provider Identifier?
Yes — ROGER KEN SETLIFF (P.T.) has NPI 1497806657 on file in the registry.
Active or inactive — what applies to ROGER KEN SETLIFF (P.T.)?
You should see ROGER KEN SETLIFF (P.T.) as active in CMS-hosted NPPES data.
What clinical focus is listed for ROGER KEN SETLIFF (P.T.)?
At a glance, ROGER KEN SETLIFF (P.T.) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROGER KEN SETLIFF (P.T.)?
Travel planning: use Coppell, Texas as the reference point for ROGER KEN SETLIFF (P.T.), then confirm.
When was this NPI issued?
Enumeration for ROGER KEN SETLIFF (P.T.) is noted as January 15, 2007 where the registry provides it.

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