Charles A Kirkland, PT, DPT, DMT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05010477A Issued in IN

Practice address

1600 Riverfront Dr
Little Rock, AR 72202

Phone

(501) 663-6965

Fax

(501) 603-0675

NPI assigned

Nov 16, 2006

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Living Water Wellness and Therapy LLC

  • Physical Therapy Clinic/Center
  • Portage, IN
  • NPI 1265776017

  Orthopedic

  Medicare reassignment NPD Authorized official
• Community Care Network Inc

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment NPD
• David E Ross, Jr, MD,PC

  • Family Medicine Physician
  • Gary, IN
  • NPI 1407985971
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1467525857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 LAKEWOOD AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032247",
            "telephone_number": "248-210-8805",
            "fax_number": "219-285-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RIVERFRONT DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-663-6965",
            "fax_number": "501-603-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "PT, DPT, DMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05010477A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kirchner, COTA/L
• Haley Nicole Kirk, OT
• Harold Michael Kirk, LPC
• Anna Christine Kirkes, LCSW
• Matthew Edward Kirkes, MHPP
• Kirby Claire Kirkland
• Michelle Marie Kirkland, PHARMD
• Kayla Kirklin
• Thomas Warren Kirkpatrick
• Natasha Kirkwood, QBHP

• Orthopedic Physical Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.