Individual provider Active NPI

Katherine Bird, DPT

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1770029514
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
084820 Issued in IA
Practice address
850 43Rd Ave
Suite 100
Moline, IL 61265-8401
Phone
(309) 743-2070
Fax
(309) 743-2073
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 084820 IA Primary

Addresses

Primary practice location

850 43Rd Ave
Suite 100
Moline, IL 61265-8401

Mailing address

850 43Rd Ave
Suite 100
Moline, IL 61265-8401
Phone (309) 743-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228002525 IA Practitioner - Physical Therapist in Private Practice 8628352101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Therapies, PCGroup PAC ID 1254226095, 17 clinicians

Practice addresses (Care Compare)

3290 Ridgeway Dr
Suite 3
Coralville, IA 52241-2023
Phone 31966526302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084820IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapies, PC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 3, 2017 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 3, 2017 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

3620 Edgewood Rd SW
Ste 300
Cedar Rapids, IA 52404
Phone (319) 363-2901

3290 Ridgeway Dr
Ste 3
Coralville, IA 52241
Phone (319) 625-3030

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1770029514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "084820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.