Individual provider Active NPI

Kirstin Michele Sparrow, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1306182860
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205392 Issued in VA
Practice address
3320 Wake Forest Rd Ste 440
Raleigh, NC 27609-7300
Phone
(919) 385-2600
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205392 VA Primary

Addresses

Primary practice location

3320 Wake Forest Rd Ste 440
Raleigh, NC 27609-7300

Mailing address

3320 Wake Forest Rd Ste 440
Raleigh, NC 27609-7300
Phone (919) 862-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002851 NC Practitioner - Physical Therapist in Private Practice 7012211550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14074NCMDGeneral Practice Dentistry
2305205392VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Duke University Health System, Inc. Physical Therapist Current Accepting new patients
Duke University Health System, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Duke University Health System, Inc. PastSince May 8, 2022 Accepting new patients

Locations

801 W Barbee Chapel Rd
#100
Chapel Hill, NC 27517
Phone (919) 385-2600

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

5920 Sandy Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 954-3174

3320 Wake Forest Rd
Ste 440
Raleigh, NC 27609
Phone (919) 385-2600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1306182860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD STE 440",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-862-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD STE 440",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-385-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "KIRSTIN",
        "middle_name": "MICHELE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.