Kimberly Lauren Creps, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42331 Issued in CA

Practice address

18377 Beach Blvd
#216
Huntington Beach, CA 92648-1381

Phone

(714) 848-8318

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1053703975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 WARNER AVE",
            "address_2": "APT 17F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478026",
            "telephone_number": "707-484-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD",
            "address_2": "#216",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481381",
            "telephone_number": "714-848-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREPS",
        "first_name": "KIMBERLY",
        "middle_name": "LAUREN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Crampton
• Mary P Crane Welch, OTRL
• Nicole Crane
• Todd Creager, LCSW
• Amy Crees, RD
• Crescent Moon Recovery- Orange County Iop, LLC
• Crescent Moon Recovery, LLC
• Crescent Moon Recovery, LLC
• Cynthia Crispino, CATCII
• Brian Cooper Cristiano, M.D.

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.