NPIMap

Individual provider Active NPI

Beth Kimball, DPT

  • Physical Therapist
  • Chalmette, LA
National Provider Identifier
1013465244
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08386 Issued in LA
Practice address
801 W Judge Perez Dr
Suite a
Chalmette, LA 70043-4882
Phone
(504) 278-7567
Fax
(504) 278-7569
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08386 LA Primary
Physical Therapist 225100000X PT5178 MS

Addresses

Primary practice location

801 W Judge Perez Dr
Suite a
Chalmette, LA 70043-4882

Mailing address

801 W Judge Perez Dr
Suite a
Chalmette, LA 70043-4882
Phone (504) 278-7567

Other names 1

  • Beth Griffin Former name

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

LicenseStateTypeSpecialty
08386LAMDPhysical Therapist
PT5178MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients
University Healthcare System, L.C. PastSince Oct 5, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: beth.kimball.1@15749.direct.athenahealth.com

Organizations & group practices 2

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1013465244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W JUDGE PEREZ DR",
            "address_2": "SUITE A",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434882",
            "telephone_number": "504-278-7567",
            "fax_number": "504-278-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W JUDGE PEREZ DR",
            "address_2": "SUITE A",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434882",
            "telephone_number": "504-278-7567",
            "fax_number": "504-278-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "BETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08386",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GRIFFIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.