Dustin J Kirk, PT, DPT
Individual provider Active NPI Physical Therapist · Baldwyn, MS
NPI 1801462841 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1801462841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT7097 (MS)
- Practice address
- 715 Highway 45
Baldwyn, MS 38824-8591 - Phone
- (662) 365-5610
- Fax
- (662) 365-5611
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7097 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
715 Highway 45
Baldwyn, MS 38824
Phone (662) 365-5610
2503 Virginia Ln
Corinth, MS 38834
Phone (662) 977-7180
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7097 | MS | Yes |
Addresses
Primary practice location
715 Highway 45
Baldwyn, MS 38824-8591
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Baldwyn, MS
- Heather Hancock
- Haven Home Health LLC
- Casey Nicole Hayes
- Molly Elizabeth Hester-Conway
- Houston Discount Drugs
- Elizabeth J Kirkpatrick
- Vicki Michelle Lambert
- Sharon Mitchell
- North Mississippi Medcial Center, Inc.
- North Mississippi Medical Center, Inc.
All providers in Baldwyn, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.