Stacey Marie Kirkpatrick, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3297 Issued in NH

Practice address

1 Commons Dr # F
Suite 38
Londonderry, NH 03053-3441

Phone

(603) 437-3330

Fax

(603) 437-0431

NPI assigned

Apr 16, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1295950335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 TAYLOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033769",
            "telephone_number": "802-309-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR # F",
            "address_2": "SUITE 38",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-437-3330",
            "fax_number": "603-437-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "16717",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NH",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidz Play Pediatric Therapy
• Kim Howard Lcmhc PLLC
• Jamie Hyun Ho Kim, MD
• Kimberly Capone
• Toni Kirby
• Natalia Kit, DO
• Laura Diane Klain, LCMHC
• Alicia M. Kleczkowski, A.P.R.N.
• Molly Clare Koon
• Melissa Ann Kostan, MS, OTR/L

• Pediatric Physical Therapist in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Pediatric Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.