Active NPI
Kadisyn Kircher
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP053844T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP053844T | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sport Rehab Specialists at Anthem, LLC | Physical Therapist | Current | Accepting new patients |
| Strive Physical Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Anthem, AZ
- NPI 1821109356
-
- Physical Therapist
- Omaha, NE
- NPI 1669053526
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.