Kirsten Rose Moreshead, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5665 Issued in ME

Practice address

57 Fairview Ave
Skowhegan, ME 04976-1414

Phone

(207) 474-7000

Fax

(207) 858-4772

NPI assigned

Jul 6, 2020

Last updated

Jul 3, 2023By 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

Other names 1

• Kirsten Rose Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1598382608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-474-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 FAIRVIEW AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761414",
            "telephone_number": "207-474-7000",
            "fax_number": "207-858-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESHEAD",
        "first_name": "KIRSTEN",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "WOOD",
            "middle_name": "ROSE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shamano Minhas, MD
• Aalia Fathima Mohamed Ghouse, MD
• Nicole R Monk
• Michael J Monzel, MD
• Natasha Kay Moody
• Michelle L Morgan, MD
• Sherry Morrison
• Danielle M Morse, LSW,CADC
• Msad #54
• Brigid A Mullally, M.D.

• Physical Therapist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.