Justin Kirk, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT04105 Issued in RI

Practice address

1700 Willow Lawn Dr Ste 230
Richmond, VA 23230-3003

Phone

(540) 454-1177

NPI assigned

Nov 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, RI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Richmond Physical Therapy Corp

  • Physical Therapist
  • Richmond, VA
  • NPI 1518936459
  Medicare reassignment NPD
• Silver Fern Practice, LLC

  • Physical Therapist
  • Providence, RI
  • NPI 1851472914
  Care Compare group NPD
• Ashland Physical Therapy Associates Inc

  • Physical Therapist
  • Ashland, VA
  • NPI 1255300190
  NPD (past)
• Silver Fern Practice, LLC

  • Physical Therapist
  • Smithfield, RI
  • NPI 1013583426
  NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1275241234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILLOW LAWN DR STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303003",
            "telephone_number": "540-454-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 New London Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205600",
            "country_code": "US",
            "telephone_number": "401-205-8200",
            "fax_number": "401-250-5724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305215471",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT04105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Kirchberg, PA-C
• Hope Elizabeth Kircher, DPT
• Sarah M Kirchner, NP
• Jarrod Carroll Kirchoff
• Jeremy Kirk, CSAC
• Riley Kirk
• Carolyn Kirkbride, FNP-C
• Christopher A Kirkey, CRNA
• Thomas W Kirkland Jr., LICENSED OPTICIAN
• Barry V Kirkpatrick, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.