Active NPI
Stacy Renea Kirby, MPT, PT
- Physical Therapist
- Kaufman, TX
National Provider Identifier
1770064446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1136257
- Practice address
- 1803 E US Highway 243
Kaufman, TX 75142-4118 - Phone
- (972) 932-7776
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1136257 | TX | Primary |
Addresses
Primary practice location
1803 E US Highway 243
Kaufman, TX 75142-4118
Mailing address
600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Phone (214) 252-7681
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 |
|---|---|---|---|
| 1136257 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1770064446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N PEARL ST STE 1050",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017495",
"telephone_number": "214-252-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 E US HIGHWAY 243",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751424118",
"telephone_number": "972-932-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "STACY",
"middle_name": "RENEA",
"credential": "MPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1136257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.