Shannon R Kirsch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0512 Issued in SD

Practice address

2001 7TH St
Rapid City, SD 57701-4661

Phone

(605) 716-6474

Fax

(605) 716-6484

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ptot Professionals Inc

  • Physical Therapist
  • Rapid City, SD
  • NPI 1235121500
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164414454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 7TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014661",
            "telephone_number": "605-716-6474",
            "fax_number": "605-716-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 7TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014661",
            "telephone_number": "605-716-6474",
            "fax_number": "605-716-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "SHANNON",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5831562",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Kinzie, RBT
• Kirby Health Care, P. C.
• Kirby-Hague Health Care, P. C.
• Paulette A Kirby, FNP
• Karl R Kirsch, PT
• Kasey J Kirschenmann, PHARMD.
• Joel Kirst, NP-C
• Kirsten William-Kennedy DDS, Ms, P.C. (Dedicated Dental Solutions)
• Christel Lynn Kitzelman, MSW
• Maggie Lane Klapperich

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapist in South Dakota

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