Brian Kirby, MSPT

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

PT013564L Issued in PA

Practice address

2630 Holme Ave
Philadelphia, PA 19152-3009

Phone

(215) 992-4977

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Physical Therapy and Fitness LLCGroup PAC ID 1759452436, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capstone Physical Therapy & Fitness LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1891971818
  Medicare reassignment Care Compare group NPD
• Northeast Wellness Connection Inc

  • Physical Therapist
  • Phila, PA
  • NPI 1255381620
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366477242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 AUSTIN RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190672802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523009",
            "telephone_number": "215-992-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "PA",
            "license": "PT013564L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kipp West Philadelphia Charter School
• Kipp West Philadelphia Prep Charter School
• Kristina Marie Kipp, PHARM.D.
• Akshatha Kiran, MD
• Tiana Kirby Johnson
• Cheryl L. Kirby, MD
• Evan Kirby, MS, OTR/L
• Alexandra Kirchner, CPNP-AC
• Caroline Amy Kirchner
• Marianthi Kiriakidou, MD

• Rehabilitation Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Hospital in Pennsylvania

• 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.