Active NPIIndividual provider

Terry Kirk

Occupational Therapist in Blackwood, New Jersey

NPI Number1417173014
Practice location
400 E Church St, Blackwood, NJ 08012-3910
Fax
—
Last updated
May 2, 2026

Terry Kirk is an Occupational Therapist based in Blackwood, NJ. Terry Kirk practices in Blackwood, NJ. The NPI Number for Terry Kirk is 1417173014 and holds a License No. OC004673L (PA). The current practice location address for Terry Kirk is 400 E Church St, Blackwood, NJ 08012-3910 and can be reached out via phone at 609-703-1521.

Provider Profile Details

NPI Number
1417173014
Provider Name
Terry Kirk
Provider Entity Type
Individual
Gender
Female
Address
400 E Church St, Blackwood, NJ 08012-3910
Phone Number
609-703-1521
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2007
Last Update Date
May 2, 2026
Certification Date
May 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 E Church St
Blackwood, NJ 08012-3910
Zip
08012-3910
Phone Number
609-703-1521
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
8030 Ditman St Apt 55
Philadelphia, PA 19136-4423
City
Philadelphia
State
PA
Zip
19136-4423
Phone Number
267-809-5556

License Information

License Number (1)
OC004673L
License State (1)
PA
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR01090300
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Terry Kirk?

The NPI number of Terry Kirk is 1417173014. It was assigned on April 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Terry Kirk?

Terry Kirk is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in PA under license number OC004673L.

Where does Terry Kirk practice?

The practice location is 400 E Church St, Blackwood, NJ 08012-3910. The office can be reached at 609-703-1521 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417173014 directly on the NPPES registry website.

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