Active NPI
Kira Sade Fitchpatrick, PT, DPT
- Physical Therapist
- Bartlett, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12617
- Practice address
- 3045 Kate Bond Rd
Bartlett, TN 38133-4004 - Phone
- (901) 937-3200
- Fax
- (901) 383-1738
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6618 | MS | |
| Physical Therapist | 225100000X | 12617 | TN | Primary |
Addresses
Primary practice location
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Mailing address
2670 McIngvale Rd Ste J
Hernando, MS 38632-8696
Phone (901) 641-3000
Other practice location 1
5225 Highway 18 W Ste C
Jackson, MS 39209-9447
Phone (601) 487-8456
Other practice location 2
2670 McIngvale Rd Ste J
Hernando, MS 38632-8696
Phone (901) 641-3000
Other names 1
- Kira Sade Scott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4857 Goodman Rd
Suite 106
Olive Branch, MS 38654-7916
Phone (662) 880-0006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Physical Therapist | Current | Accepting new patients |
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| K Fit Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy First LLC | Physical Therapist | Past | Accepting new patients |
Locations
2670 McIngvale Rd
Ste J
Hernando, MS 38632
Phone (662) 548-2710
4857 Goodman Rd
Ste 106
Olive Branch, MS 38654
Phone (601) 750-7252
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Olive Branch, MS
- NPI 1275313454
Physical Therapist
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
Physical Therapist
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
Physical Therapist
-
dba McColumn Physical Therapy
- Physical Therapist
- Jackson, MS
- NPI 1427386903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1053877001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 MCINGVALE RD STE J",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386328696",
"telephone_number": "901-641-3000",
"fax_number": "017-012-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 KATE BOND RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334004",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
}
],
"practiceLocations": [
{
"address_1": "5225 Highway 18 W Ste C",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392099447",
"country_code": "US",
"telephone_number": "601-487-8456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2670 McIngvale Rd Ste J",
"address_purpose": "LOCATION",
"city": "Hernando",
"state": "MS",
"postal_code": "386328696",
"country_code": "US",
"telephone_number": "901-641-3000",
"fax_number": "017-012-4289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITCHPATRICK",
"first_name": "KIRA",
"middle_name": "SADE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6618",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRA",
"last_name": "SCOTT",
"middle_name": "SADE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.