Steven V. Kisor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3571 Issued in AL

Practice address

1530 E Glenn Ave Ste C
Auburn, AL 36830-5730

Phone

(334) 502-7839

Fax

(334) 502-7879

NPI assigned

Jan 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Rehab and Performance

  • Physical Therapist
  • Auburn, AL
  • NPI 1144815382
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1093222341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E GLENN AVE STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305730",
            "telephone_number": "334-502-7839",
            "fax_number": "334-502-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISOR",
        "first_name": "STEVEN",
        "middle_name": "V.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayden Shelby King
• Michele King, PH.D.
• William Green King III, DMD
• Jade Kinney
• Cain Eric Kirk, PHARM.D.
• Annette S. Kluck, LICENSED PSYCHOLOGIS
• Marsha A Kluesing, AU.D. CCC-A
• Abbie Grace Knight, NP
• Elizabeth Brestan Knight, PHD
• Braden Kobus

• Physical Therapist in Auburn, AL
• Providers in Auburn, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.

Verify at the official NPI Registry.