Khristine Marie Kirkbride, DPT, OMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019053 Issued in MI

Practice address

3315 E Michigan Ave Ste 6
Lansing, MI 48912-4600

Phone

(517) 709-4677

Fax

(517) 798-5667

NPI assigned

Feb 5, 2019

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Rehabilitation

  • Physical Therapist
  • Holt, MI
  • NPI 1306244066
  NPD

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1558826479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E MICHIGAN AVE STE 6",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124600",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488372355",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Cedar St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422211",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKBRIDE",
        "first_name": "KHRISTINE",
        "middle_name": "MARIE",
        "credential": "DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kintsugi Wellness Counseling Inc
• Alaina Mar'Ee Kioski-Stanley
• Kip L Kaercher DO PLLC
• Sylvia Lynne Kirgis, APRN-BC
• Karen Lee Kirk, LMSW
• Lora Kirkbride
• Vincent Jeremiah Kirrmann I
• Celina Ann Kirsch, PA
• Justin Sasky Kisaka, DO
• Maryam Ruby Kishta-Derani, D.D.S.

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.