Active NPI
Daron J Kirkreit, DPT
- Physical Therapist
- Sanford, FL
National Provider Identifier
1609955442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22823
- Practice address
- 1200 Lexington Green LN
Sanford, FL 32771-1013 - Phone
- (407) 322-3442
- Fax
- (407) 322-8404
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22823 | FL | Primary |
Addresses
Primary practice location
1200 Lexington Green LN
Sanford, FL 32771-1013
Mailing address
740 W Plymouth Ave
Deland, FL 32720-3282
Phone (407) 322-3442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y902T | Other | FL | BCBS |
| Y08LW | Other | FL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22823 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1609955442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203282",
"telephone_number": "407-322-3442",
"fax_number": "407-322-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013",
"telephone_number": "407-322-3442",
"fax_number": "407-322-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKREIT",
"first_name": "DARON",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y902T",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y08LW",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.