KERA NORTHCUTT (DPT, PT) – Physical Therapist, NPI 1578251880

KERA NORTHCUTT (DPT, PT) is a healthcare provider. based in Roanoke, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. They hold a License No. 1274418 (TX). The NPI Number for KERA NORTHCUTT (DPT, PT) is 1578251880

Main info

Female
10 Years Of Experience
Name
KERA NORTHCUTT (DPT, PT)
NPI
1578251880
Phone
(817) 756-5366
Address
351 W BYRON NELSON BLVD STE 110
Enumeration Date
25 April 2023
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177565366
Graduation Year
2016 (10 years ago)
PAC ID
6305297839
Group Practice PAC ID
7517360902
Professional Enrollment ID
I20240109004757
Address ID
TX762623504RO295XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KERA NORTHCUTT (DPT, PT)

  • 351 W BYRON NELSON BLVD STE 110

    ROANOKE, TX 762623514

    Phone: (817) 756-5366

    Fax: (817) 665-3817

    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: 2024-01-09

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
I20240109004757IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76262)

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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: 7517360902View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is KERA NORTHCUTT (DPT, PT) listed with a National Provider Identifier?
Yes — KERA NORTHCUTT (DPT, PT) has NPI 1578251880 on file in the registry.
Active or inactive — what applies to KERA NORTHCUTT (DPT, PT)?
You should see KERA NORTHCUTT (DPT, PT) as active in CMS-hosted NPPES data.
How would a patient describe KERA NORTHCUTT (DPT, PT)'s focus?
For KERA NORTHCUTT (DPT, PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KERA NORTHCUTT (DPT, PT)?
Directory geography for KERA NORTHCUTT (DPT, PT) centers on Roanoke, Texas.
Does KERA NORTHCUTT (DPT, PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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