Individual provider Active NPI

Amie Elizabeth Kirkby, DPT

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1538769658
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P8627 Issued in NC
Practice address
290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone
(704) 483-0777
Fax
(704) 483-1883
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 P8627 NC Primary

Addresses

Primary practice location

290 N NC 16 Business Hwy
Denver, NC 28037-8011

Mailing address

290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777

Other practice location 1

290 N Nc 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201212000115 NC Practitioner - Physical Therapist in Private Practice 0143632364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy and Sports PerformanceGroup PAC ID 0749209245, 8 clinicians

Practice addresses (Care Compare)

290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physical Therapy & Sports Performance Physical Therapist CurrentSince Dec 2, 2020 Accepting new patients

Locations

290 N NC 16 Business Hwy
Denver, NC 28037
Phone (704) 483-0777

Organizations & group practices 1

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1538769658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N Nc 16 Business Hwy",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280378011",
            "country_code": "US",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKBY",
        "first_name": "AMIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.