Maria Kirby

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PTH10751 Issued in AL

Practice address

1581 Montgomery Hwy Ste 115
Vestavia Hills, AL 35216-4536

Phone

(205) 874-6765

Fax

(205) 900-8160

NPI assigned

Jun 20, 2022

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, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Ultimate Edge Sports MedicineGroup PAC ID 5698062586, 3 clinicians

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.

• Ultimate Edge Sports Medicine

  • Physical Therapy Clinic/Center
  • Hoover, AL
  • NPI 1821442146
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1124759253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY STE 115",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164536",
            "telephone_number": "615-969-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY STE 115",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164536",
            "telephone_number": "205-874-6765",
            "fax_number": "205-900-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AL",
            "license": "PTH10751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Killette Anderson Counseling LLC
• Julie Owings Kimbrough, PHARMD
• Diamond Kinermon, ALC
• Alexis King, RBT
• Tanner S King, M.S. CCC-SLP
• Destanie Kirkland
• Monica Gail Cotton Kline, CRNP
• Sarah Lawhorn Knapp
• Dustin Spenser Knickrehm, DC
• Cinda Elizabeth Kult, PT

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.