Kira Memery, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205475 Issued in VA

Practice address

5928 Seminole TRL
Suite 103
Barboursville, VA 22923-2872

Phone

(434) 985-2198

Fax

(434) 985-3227

NPI assigned

May 23, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advanced Center for Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Barboursville, VA
  • NPI 1013169473
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1184071839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 WATKINS LN",
            "city": "GORDONSVILLE",
            "state": "VA",
            "postal_code": "229421815",
            "telephone_number": "434-953-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 SEMINOLE TRL",
            "address_2": "SUITE 103",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232872",
            "telephone_number": "434-985-2198",
            "fax_number": "434-985-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2585 Watkins Ln",
            "address_purpose": "LOCATION",
            "city": "Gordonsville",
            "state": "VA",
            "postal_code": "229421815",
            "country_code": "US",
            "telephone_number": "434-953-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMERY",
        "first_name": "KIRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Kuekes-Baker, RN
• Level Up Physical Therapy
• Samuel Clayton Mackay, DPT
• Thomspon Femi Malumi
• Aileen Marie McKernan
• David M. Mercer, ACNP
• Mercernpservices LLC
• Ricky Patel
• Leisa Marie Payette, LPC
• Lauren Marie Pedone

• Physical Therapist in Barboursville, VA
• Providers in Barboursville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.