Deidre Marie Kirkpatrick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT000696 Issued in PA

Practice address

3010 West Lake Rd
Erie, PA 16505-3849

Phone

(814) 833-2022

Fax

(814) 838-1223

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deidre Marie Ducharme Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seth Enterprises I

  • Physical Therapist
  • Erie, PA
  • NPI 1205946910
  NPD (past)
• Seth Enterprises II LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1841300654
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689784498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WEST LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053849",
            "telephone_number": "814-833-2022",
            "fax_number": "814-838-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WEST LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053849",
            "telephone_number": "814-833-2022",
            "fax_number": "814-838-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "DEIDRE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT000696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "DUCHARME",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Lynn Kinstler
• Maeve Kirby, LPC
• Renee M. Kirby, LSW CADC
• Laura Lynn Kirdahy, CCC
• Kristen Kathleen Kirik, LCSW
• Danielle Marie Kirsch, MA, CCC SLP-L
• Hannah Kiser, PA
• Theresa M Kisiel, CRNP
• Trung Kitchener, CRNA
• Joseph Kitts

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• 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.