Individual provider Active NPI

Renee Kirbs

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1144330838
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3921 Jackson Rd
Ann Arbor, MI 48103-1823
Phone
(734) 665-1626
NPI assigned
Aug 30, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3921 Jackson Rd
Ann Arbor, MI 48103-1823

Mailing address

3921 Jackson Rd
Ann Arbor, MI 48103-1823
Phone (734) 665-1626

Other identifiers 1

IdentifierTypeStateIssuer
5501002553OtherMILICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000690 MI Practitioner - Physical Therapist in Private Practice 3173597796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hands Therapy LTDGroup PAC ID 6608855747, 15 clinicians

Practice addresses (Care Compare)

58 Parkland PLZ
Suite 100
Ann Arbor, MI 48103-6208
Phone (734) 222-8515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Therapy LTD Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Back to Action Physical Therapy Center LLC Physical Therapist PastSince Aug 1, 2007 Accepting new patients

Locations

58 Parkland Plz
Ste 100
Ann Arbor, MI 48103
Phone (734) 222-8515

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1144330838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031823",
            "telephone_number": "734-665-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031823",
            "telephone_number": "734-665-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBS",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "5501002553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.