Individual provider Active NPI

Cheryl Kirk, P.T.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1669481990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1030336 Issued in TX
Practice address
7333 Barlite Blvd
250
San Antonio, TX 78224-1320
Phone
(210) 924-3040
Fax
(210) 924-3889
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1030336 TX Primary

Addresses

Primary practice location

7333 Barlite Blvd
250
San Antonio, TX 78224-1320

Mailing address

7333 Barlite Blvd
250
San Antonio, TX 78224-1320
Phone (210) 924-3040

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
1030336TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Facilities Development Physical Therapist Past Accepting new patients
US Health Facilities Development 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669481990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-924-3040",
            "fax_number": "210-924-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-924-3040",
            "fax_number": "210-924-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.