Individual provider Active NPI

Kana Renee Irwin, PT, DPT

  • Physical Therapist
  • Decatur, AL
National Provider Identifier
1629403597
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6910 Issued in AL
Practice address
1931 Central Pkwy SW Ste S
Decatur, AL 35601-6851
Phone
(256) 309-0454
Fax
(256) 309-0422
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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 PTH6910 AL Primary

Addresses

Primary practice location

1931 Central Pkwy SW Ste S
Decatur, AL 35601-6851

Mailing address

1931 Central Pkwy SW Ste S
Decatur, AL 35601-6851
Phone (256) 309-0454

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTH6910ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Pediatrics Therapy Services PC PastSince Nov 19, 2023 Accepting new patients
Robin Irwin Physical Therapy Services Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1629403597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 CENTRAL PKWY SW STE S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016851",
            "telephone_number": "256-309-0454",
            "fax_number": "256-309-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 CENTRAL PKWY SW STE S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016851",
            "telephone_number": "256-309-0454",
            "fax_number": "256-309-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "KANA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.