Individual provider Active NPI

Michael Oleary Kirk, OT

  • Occupational Therapist
  • Redding, CA
National Provider Identifier
1346308459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4881 Issued in CA
Practice address
405 Redcliff Dr
Ste 100
Redding, CA 96002-0157
Phone
(530) 224-2226
Fax
(530) 246-2229
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4881 CA Primary

Addresses

Primary practice location

405 Redcliff Dr
Ste 100
Redding, CA 96002-0157

Mailing address

405 Redcliff Dr
Ste 100
Redding, CA 96002-0157
Phone (530) 224-2226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000523 CA Practitioner - Occupational Therapist in Private Practice 8921056300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1255 Liberty St
Redding, CA 96001-0814
Phone (530) 246-2467

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
92.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4881CAMDMental Health Counselor
OT4881CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Orthopedics & Sports Medicine a Medical Corporation CurrentSince Jan 15, 2007 Accepting new patients
Speech Therapy Center, Inc. Past Accepting new patients
Apogee Outpatient Surgery Center Past Accepting new patients
Rose Center for Rehabilitation, Hope & Wellness Inc Occupational Therapist PastSince Aug 27, 2004 Accepting new patients

Locations

405 Redcliff Dr
Ste 100
Redding, CA 96002
Phone (530) 226-9242

1255 Liberty St
Redding, CA 96001
Phone (530) 246-2467

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346308459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 REDCLIFF DR",
            "address_2": "STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020157",
            "telephone_number": "530-224-2226",
            "fax_number": "530-246-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 REDCLIFF DR",
            "address_2": "STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020157",
            "telephone_number": "530-224-2226",
            "fax_number": "530-246-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MICHAEL",
        "middle_name": "OLEARY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.