Individual provider Active NPI

Malinda Kirby, DPT

  • Physical Therapist
  • Williston, ND
National Provider Identifier
1609224229
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1929 Issued in ND
Practice address
1905 14TH St W
Williston, ND 58801-6020
Phone
(701) 651-6437
Fax
(701) 516-8462
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 1929 ND Primary

Addresses

Primary practice location

1905 14TH St W
Williston, ND 58801-6020

Mailing address

1905 14TH St W
Williston, ND 58801
Phone (701) 651-6437

Other practice location 1

1502 13TH Ave W
Ste 101
Williston, ND 58801-3825
Phone (701) 651-4325

Other practice location 2

512 Main St
Williston, ND 58801-5316
Phone (701) 774-0320

Other identifiers 1

IdentifierTypeStateIssuer
1609224229OtherNDNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000183 ND Practitioner - Physical Therapist in Private Practice 4981997814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Health Partners, LLCGroup PAC ID 8729483284, 10 clinicians

Practice addresses (Care Compare)

1905 14TH St W
Williston, ND 58801-4063
Phone (701) 651-6437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1929NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Specialty Clinics, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Elite Specialty Clinics, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Milestone Health Partners, LLC CurrentSince Sep 11, 2022 Accepting new patients
Live in Motion Physical Therapy Specialists, PLLC Physical Therapist CurrentSince Jan 3, 2018 Accepting new patients
Milestone Health Partners, LLC CurrentSince May 15, 2021 Accepting new patients

Locations

1502 13th Ave W
Ste 101
Williston, ND 58801
Phone (701) 651-4325

512 Main St
Williston, ND 58801
Phone (701) 774-0320

205 Main St
Williston, ND 58801
Phone (701) 570-1775

1905 14th St W
Williston, ND 58801
Phone (701) 651-6437

Organizations & group practices 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1609224229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "58801",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 13TH AVE W",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013825",
            "country_code": "US",
            "telephone_number": "701-651-4325",
            "fax_number": "844-787-1839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Main St",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588015316",
            "country_code": "US",
            "telephone_number": "701-774-0320",
            "fax_number": "701-774-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "MALINDA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609224229",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

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