Active NPI
Brandi Dawn Kirk, PT
- Physical Therapist
- Homer Glen, IL
National Provider Identifier
1851334288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009741
- Practice address
- 14815 Founders Xing
Homer Glen, IL 60491-6705 - Phone
- (708) 301-3102
- Fax
- (708) 301-4450
- NPI assigned
- Jun 14, 2006
- 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 | 070-009741 | IL | Primary |
Addresses
Primary practice location
14815 Founders Xing
Homer Glen, IL 60491-6705
Mailing address
17W735 Kirkland LN
Villa Park, IL 60181-3751
Phone (630) 881-6332
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009741 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand and Orthopaedic Surgery Center Inc | Past | Accepting new patients | |
| Women'S Physical Therapy Institute Inc. | Physical Therapist | Past | Accepting new patients |
| Poremba LTD Dba Rehab Connections PC | Past | Accepting new patients | |
| Michael Reilly M.D. Holistic & Family Practice Medicine LTD | Past | Accepting new patients |
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.
-
- Specialist
- Oakbrook Terrace, IL
- NPI 1881902583
-
- Family Medicine Physician
- Fox River Grove, IL
- NPI 1598871923
-
- Physical Therapy Clinic/Center
- Homer Glen, IL
- NPI 1215970082
-
- Physical Therapist
- Lake Zurich, IL
- NPI 1730234121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1851334288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17W735 KIRKLAND LN",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601813751",
"telephone_number": "630-881-6332",
"fax_number": "708-301-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14815 FOUNDERS XING",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916705",
"telephone_number": "708-301-3102",
"fax_number": "708-301-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "BRANDI",
"middle_name": "DAWN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.