Individual provider Active NPI

Kelsey Kirk, PT. DPT

  • Physical Therapist
  • Decatur, AL
National Provider Identifier
1730937574
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11799 Issued in AL
Practice address
1931 Central Pkwy SW Ste S
Decatur, AL 35601-6851
Phone
(256) 309-0454
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 PTH11799 AL Primary

Addresses

Primary practice location

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

Mailing address

117 Larnard St
Muscle Shoals, AL 35661-1323
Phone (256) 702-6698

Other practice location 1

1615 Trojan Dr
Muscle Shoals, AL 35661-3288
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
PTH11799ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Pediatrics Therapy Services PC CurrentSince May 12, 2024 Accepting new patients
Robin Irwin Physical Therapy Services Physical Therapist PastSince May 12, 2024 Accepting new patients

Locations

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

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1730937574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LARNARD ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611323",
            "telephone_number": "256-702-6698"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Trojan Dr",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356613288",
            "country_code": "US",
            "telephone_number": "256-309-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KELSEY",
        "credential": "PT. DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11799",
            "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 May 7, 2024; 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.