Individual provider Active NPI

Jessica Lynn Kirchner, PT

  • Orthopedic Physical Therapist
  • Estero, FL
National Provider Identifier
1144228990
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
23271 Issued in FL
Practice address
10201 Arcos Ave
Suite 204
Estero, FL 33928-9459
Phone
(239) 425-6909
Fax
(239) 992-4589
NPI assigned
Jul 14, 2005
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 23271 FL Primary

Addresses

Primary practice location

10201 Arcos Ave
Suite 204
Estero, FL 33928-9459

Mailing address

10201 Arcos Ave
Suite 204
Estero, FL 33928-9459
Phone (239) 425-6909

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

State licenses

LicenseStateTypeSpecialty
23271FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Michigan Center for Orthopaedic and Sports Medicine P PastSince Feb 15, 2007 Accepting new patients
Fifer & Heligman MD PA Past Accepting new patients
Alliance Physical Therapy Group LLC PastSince Mar 23, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1144228990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE",
            "address_2": "SUITE 204",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289459",
            "telephone_number": "239-425-6909",
            "fax_number": "239-992-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE",
            "address_2": "SUITE 204",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289459",
            "telephone_number": "239-425-6909",
            "fax_number": "239-992-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "23271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.