NPIMap

Organization Active NPI

Bird Physical Therapy PA

  • Physical Therapist
  • Lawrence, KS
National Provider Identifier
1013914944
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIRD PHYSICAL THERAPY PA
Practice address
535 Gateway Dr
Lawrence, KS 66049-2342
Phone
(785) 331-0106
NPI assigned
Jul 7, 2005
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Bird, MSPTNPI 1356384366
Title
Physical Therapist
Phone
(785) 331-0106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

535 Gateway Dr
Lawrence, KS 66049-2342

Mailing address

535 Gateway Dr
Lawrence, KS 66049-2342
Phone (785) 331-0106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000375 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951353648 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

535 Gateway Dr
Lawrence, KS 66049
Phone (785) 331-0106

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1013914944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GATEWAY DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492342",
            "telephone_number": "785-331-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GATEWAY DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492342",
            "telephone_number": "785-331-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "785-331-0106",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.