Andrew Steven Kirschbaum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019065 Issued in MI

Practice address

4312 Orchard Lake Rd Ste 100
West Bloomfield, MI 48323-1637

Phone

(248) 788-6100

NPI assigned

Feb 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.kirschbaum.1@14940.direct.athenahealth.com

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.

• HQ of West Bloomfield LLC

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1487027215

  Physical Therapist

  NPD
• Trishard P.C.

  • Rehabilitation Clinic/Center
  • Warren, MI
  • NPI 1992793442
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1902362270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 ORCHARD LAKE RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231637",
            "telephone_number": "248-788-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHBAUM",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela D King, RN
• Peter King, COMPANY OWNER
• Suchetha Kinhal, MD
• Douglas Clayton Kinney, ACNP
• Amy Kirby, ATC
• Samuel Kirshenbaum, MSW, LLMSW
• Cheryl Kitchen
• Elizabeth Ann Klag, MD
• Patricia J. Klassa, MSN, APRN, CNS-C
• Kaitlin Ann Klaus, RN

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.