Casey Kirkham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3984 Issued in NM

Practice address

211 Sudderth
Lincoln County Medical Center
Ruidoso,, NM 88345-6002

Phone

(575) 257-8200

NPI assigned

Apr 13, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1376800466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD",
            "address_2": "STE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "575-257-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUDDERTH",
            "address_2": "LINCOLN COUNTY MEDICAL CENTER",
            "city": "RUIDOSO,",
            "state": "NM",
            "postal_code": "883456002",
            "telephone_number": "575-257-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "CASEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kesler
• Courtney Ann Kessler, PHARMD
• Mark E King, PA
• Virginia V King, BMS
• Heather Kinney, LMHC
• Bruce Wayne Klinekole, D.C., D.A.C.N.B.
• Chelsey Koch
• Jessica Kushman
• La Frontera Center Inc. Dba la Frontera New Mexico, Inc.
• Pamela Beth Lancaster, RN

• Physical Therapist in Ruidoso,, NM
• Providers in Ruidoso,, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.