Individual provider Active NPI

Jennifer L Kirby, PT, DPT, ATC

  • Physical Therapist
  • Thorp, WI
National Provider Identifier
1578757993
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8050 Issued in AZ
Practice address
206 W Prospect St
Thorp, WI 54771-9303
Phone
(156) 695-3217
NPI assigned
Aug 29, 2007
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8050 AZ Primary
Athletic Trainer 2255A2300X 0730 AZ

Addresses

Primary practice location

206 W Prospect St
Thorp, WI 54771-9303

Mailing address

615 E Polk Ave
Eau Claire, WI 54701-3205
Phone (602) 206-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0730AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Physical Therapy, LLC CurrentSince Mar 6, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Strength Training Inc Past Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist PastSince Jun 15, 2025 Accepting new patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist PastSince Aug 7, 2014 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1578757993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E POLK AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013205",
            "telephone_number": "602-206-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W PROSPECT ST",
            "city": "THORP",
            "state": "WI",
            "postal_code": "547719303",
            "telephone_number": "156-695-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8050",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorp, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.