Teresa Sue Kirby, DPT
Individual provider Active NPI Physical Therapist · Lebo, KS
NPI 1124477088 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1124477088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-05462 (KS)
- Practice address
- 118 W 4TH St
Lebo, KS 66856-9437 - Phone
- (620) 794-1611
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-05462 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tko Physical Therapy & Fitness | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-05462 | KS | Yes |
Addresses
Primary practice location
118 W 4TH St
Lebo, KS 66856-9437
Mailing address
6288 W 301St St
Osage City, KS 66523-9064
Phone (620) 794-1611
Other providers in Lebo, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.