Active NPI
Brittany Molly Kirby
- Physical Therapy Assistant
- Auburn, CA
National Provider Identifier
1235609025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10345
- Practice address
- 12055 Persimmon Ter Ste 130
Auburn, CA 95603-3808 - Phone
- (530) 889-1046
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10345 | CA | Primary |
Addresses
Primary practice location
12055 Persimmon Ter Ste 130
Auburn, CA 95603-3808
Mailing address
15916 Thiel Way
Grass Valley, CA 95949-6814
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10345 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1235609025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15916 THIEL WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959496814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12055 PERSIMMON TER STE 130",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033808",
"telephone_number": "530-889-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "BRITTANY",
"middle_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.