Active NPI
Stefanie Renae Kirk, DPT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1124390174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004875
- Practice address
- 3310 SW 9TH St
Des Moines, IA 50315-7647 - Phone
- (515) 244-5005
- Fax
- (515) 244-2202
- NPI assigned
- Feb 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004875 | IA | Primary |
Addresses
Primary practice location
3310 SW 9TH St
Des Moines, IA 50315-7647
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 244-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Moline, IL
- NPI 1245373166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1124390174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-244-5005",
"fax_number": "515-244-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 SW 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157647",
"telephone_number": "515-244-5005",
"fax_number": "515-244-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "STEFANIE",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.