Individual provider Active NPI

Kadisyn Kircher

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1396571329
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP053844T Issued in AZ
Practice address
16950 N 51St Ave Ste 3
Glendale, AZ 85306-1323
Phone
(623) 219-4242
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 CP053844T AZ Primary

Addresses

Primary practice location

16950 N 51St Ave Ste 3
Glendale, AZ 85306-1323

Mailing address

41125 N Daisy Mountain Dr Ste 125
Anthem, AZ 85086-4964
Phone (480) 265-2132

Other practice location 1

4530 N 167th St
Omaha, NE 68116-2962
Phone (402) 990-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240918003700 NE Practitioner - Physical Therapist in Private Practice 3375084254 Reassigns benefits to 1 organization
I20260320001454 AZ Practitioner - Physical Therapist in Private Practice 3375084254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sport Rehab Specialists at Anthem LLCGroup PAC ID 8527961978, 32 clinicians

Practice addresses (Care Compare)

16950 N 51St Ave
Suite 3
Glendale, AZ 85306-1323
Phone (623) 219-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP053844TAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist CurrentSince Mar 9, 2026 Accepting new patients
Strive Physical Therapy Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients

Locations

16950 N 51st Ave
Ste 3
Glendale, AZ 85306
Phone (623) 219-4242

41125 N Daisy Mountain Dr
Ste 125
Phoenix, AZ 85086
Phone (480) 265-2132

Organizations & group practices 2

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1396571329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 125",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "480-265-2132",
            "fax_number": "623-551-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 N 51ST AVE STE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061323",
            "telephone_number": "623-219-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 N 167th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681162962",
            "country_code": "US",
            "telephone_number": "402-990-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHER",
        "first_name": "KADISYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP053844T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.