Marissa Kirkendoll, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02222000 Issued in NJ

Practice address

440 N Camino Mercado Ste 8
Casa Grande, AZ 85122-5750

Phone

(520) 836-7996

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  Medicare reassignment

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1700644978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WESTMINSTER DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502113",
            "telephone_number": "609-721-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N CAMINO MERCADO STE 8",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225750",
            "telephone_number": "520-836-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2381 Lawrence Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrence Township",
            "state": "NJ",
            "postal_code": "086482025",
            "country_code": "US",
            "telephone_number": "609-896-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361915",
            "country_code": "US",
            "telephone_number": "609-853-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKENDOLL",
        "first_name": "MARISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02222000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jo Kilgore, PHARMD
• Thomas Kim, PHARMD
• Laurie King, LCSW
• Shellese A King, D.D.S.
• Kings Passion Home Care LLC
• Romas Joseph Kirvaitis, M.D.
• Jefre N Kleinhanzl
• Maria Kojs
• Soniyasri Koochana, M.D.
• Cassandra Koontz, NP

• Physical Therapist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.