Individual provider Active NPI

Danielle Kirkpatrick, PT

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1922484252
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
52013 Issued in AL
Practice address
5923 Monticello Dr
Montgomery, AL 36117-1940
Phone
(334) 356-6453
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 52013 AL Primary

Addresses

Primary practice location

5923 Monticello Dr
Montgomery, AL 36117-1940

Mailing address

5923 Monticello Dr
Montgomery, AL 36117-1940
Phone (334) 356-6453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116001758 AL Practitioner - Physical Therapist in Private Practice 1355651753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pro Impact Physical Therapy and Sports Performance, LLCGroup PAC ID 2668518986, 4 clinicians

Practice addresses (Care Compare)

2000 Berry Chase PL
Montgomery, AL 36117-6896
Phone (334) 356-6453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52013ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Dec 1, 2021 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Dec 1, 2021 Accepting new patients
Pro Impact Physical Therapy and Sports Performance, LLC Physical Therapist CurrentSince Sep 30, 2015 Accepting new patients

Locations

5923 Monticello Dr
Montgomery, AL 36117
Phone (334) 356-6453

7449 Eastchase Pkwy
Ste 200
Montgomery, AL 36117
Phone (334) 747-4030

2000 Berry Chase Pl
Montgomery, AL 36117
Phone (334) 356-6453

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1922484252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 MONTICELLO DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171940",
            "telephone_number": "334-356-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 MONTICELLO DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171940",
            "telephone_number": "334-356-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "52013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.