Kimberly Ann Pirtle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A01387 Issued in KY

Practice address

142 Roger Powell Rd
Sebree, KY 42455-2115

Phone

(270) 835-2533

Fax

(270) 835-9448

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1033365960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ROGER POWELL RD",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424552115",
            "telephone_number": "270-835-2533",
            "fax_number": "270-835-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROGER POWELL RD",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424552115",
            "telephone_number": "270-835-2533",
            "fax_number": "270-835-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green River District Health Department (Sebree Elementary Health Clinic)
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• Marcia A. Polley, A.R.N.P.
• Banpote Poosuthasee, M.D
• Sydney Renee Rager
• Redbanks Colonial Terrace Inc.
• Sea Breeze Seven, Inc.

• Physical Therapy Assistant in Sebree, KY
• Providers in Sebree, KY by specialty
• Physical Therapy Assistant in Kentucky

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