Active NPI
Brendan Kirby
- Physical Therapist
- Ardmore, PA
National Provider Identifier
1689021073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025164
- Practice address
- 233 E Lancaster Ave
Suite 100
Ardmore, PA 19003-2321 - Phone
- (610) 642-4494
- Fax
- (610) 642-7017
- NPI assigned
- May 16, 2016
- 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 | PT025164 | PA | Primary |
Addresses
Primary practice location
233 E Lancaster Ave
Suite 100
Ardmore, PA 19003-2321
Mailing address
233 E Lancaster Ave
Suite 100
Ardmore, PA 19003-2321
Phone (610) 642-4494
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Galaxy Inc | Past | Accepting new patients | |
| Rehabclinics SPT, Inc. | 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.
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Physical Therapy Clinic/Center
- Greenfield, WI
- NPI 1447250006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1689021073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E LANCASTER AVE",
"address_2": "SUITE 100",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032321",
"telephone_number": "610-642-4494",
"fax_number": "610-642-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E LANCASTER AVE",
"address_2": "SUITE 100",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032321",
"telephone_number": "610-642-4494",
"fax_number": "610-642-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.