Jonathan Kirkwood, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60516953 Issued in WA

Practice address

184 Creekside Park Rd
Suite 200
Spring Branch, TX 78070-6148

Phone

(830) 980-4565

NPI assigned

Sep 17, 2013

Sex

Male

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

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.

• Sports Medicine Associates of San Antonio, PA

  • Physical Therapist
  • San Antonio, TX
  • NPI 1609124312
  NPD (past)
• Anunciado Enterprises PC

  • Physical Therapist
  • Vancouver, WA
  • NPI 1356554885
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1255767604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 NE 134TH ST",
            "address_2": "STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852726",
            "telephone_number": "360-573-2266",
            "fax_number": "360-573-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CREEKSIDE PARK RD",
            "address_2": "SUITE 200",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706148",
            "telephone_number": "830-980-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60516953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jbj1202 Group Corporation
• Hannah Kalantari, FNP-C
• Mackenzie Kendall
• Leslie Kidd
• Tyler Kidd
• Shannon Kirkwood, DC
• Natasha Klavon, MA, LPC
• Tristan T Lai, MD
• Kelley Prater Le Noir, FNP-C
• Legent Outpatient Surgery Singing Hills, LLC

• Physical Therapist in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.