Douglas Victor Kirk, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1012099 Issued in CO

Practice address

1631 Trailwood Dr
Fort Collins, CO 80525-2076

Phone

(970) 484-2718

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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.

• Ensight Skills Center, Inc.

  • Low Vision Rehabilitation Optometrist
  • Fort Collins, CO
  • NPI 1003885716
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1245493378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 TRAILWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252076",
            "telephone_number": "970-484-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 TRAILWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252076",
            "telephone_number": "970-484-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DOUGLAS",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1012099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinzie Counseling PLLC
• Valerie Lynn Kinzie, LPC
• Thomas M Kirby, DIPL AC
• Alicia Hayes Kirch, LMT
• Natalie Claire Kiriakos, MS, RDN
• Kirsch Chiropractic PC
• Timothy Edward Kirsch, M.D.
• Ellie Kirtland
• Autumn Kiser, LCSW
• Robert Howard Kiser, M.D.

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.