Active NPI
K Fit Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Olive Branch, MS
National Provider Identifier
1275313454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kira S Fitchpatrick, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.