Daniel Chesley Kirk, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT23836 Issued in CA

Practice address

600 N Highland Springs Ave
Banning, CA 92220-3046

Phone

(951) 769-2135

Fax

(951) 769-2136

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1861544967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22597 WESTLAKE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536439",
            "telephone_number": "951-656-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIGHLAND SPRINGS AVE",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203046",
            "telephone_number": "951-769-2135",
            "fax_number": "951-769-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DANIEL",
        "middle_name": "CHESLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT23836",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT23836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis E. Kemmerer, OD
• Afua I Khumalo, RD
• Jinsoo Jason Kim, PH.D.
• Maria Antonette De Lara Kim, RDH, RDHAP
• Nickolas Alexander King
• Alishia Nicole Koshmerl
• Stephanie La Ferriere
• Carri Ranie Lakes, NP
• Austin Fu-Ho Lam, PHARM. D.
• Jessica Lander

• Orthopedic Physical Therapist in Banning, CA
• Providers in Banning, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.