Active NPI
Kelsey Kirk, PT. DPT
- Physical Therapist
- Decatur, AL
National Provider Identifier
1730937574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH11799
- 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, 2024
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH11799 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Pediatrics Therapy Services PC | Current | Accepting new patients | |
| Robin Irwin Physical Therapy Services | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1346469004
-
- Physical Therapist
- Decatur, AL
- NPI 1598198467
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.