Organization Active NPI

K Fit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Olive Branch, MS
National Provider Identifier
1275313454
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
K FIT PHYSICAL THERAPY, LLC
Practice address
4857 Goodman Rd Ste 106
Olive Branch, MS 38654-7916
Phone
(601) 750-7252
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Kira S Fitchpatrick, PT, DPTNPI 1053877001
Title
Owner
Phone
(601) 750-7252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4857 Goodman Rd Ste 106
Olive Branch, MS 38654-7916

Mailing address

5902 Corinth Way
Southaven, MS 38672-7046
Phone (601) 750-7252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213004015 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901256130 Receives reassigned benefits from 1 practitioner
Practice locations: Olive Branch, MS

National Provider Directory

National Provider Directory

Locations

4857 Goodman Rd
Ste 106
Olive Branch, MS 38654
Phone (601) 750-7252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1275313454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 CORINTH WAY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727046",
            "telephone_number": "601-750-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 GOODMAN RD STE 106",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547916",
            "telephone_number": "601-750-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K FIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "FITCHPATRICK",
        "authorized_official_first_name": "KIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-750-7252",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.