Kimberly Eve Kroeze, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP001312T Issued in AR

Practice address

3 Medical PLZ
Mountain Home, AR 72653-2918

Phone

(807) 424-3400

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Orthopaedic Health CareGroup PAC ID 1052446051, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regional Orthopaedic Health Care

  dba Twin Lakes Orthopaedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Mountain Home, AR
  • NPI 1568477123
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1235780115
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1063045698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 6TH ST NE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501644",
            "telephone_number": "712-578-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532918",
            "telephone_number": "807-424-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEZE",
        "first_name": "KIMBERLY",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "CP001312T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "099304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Kohler
• Mary Jane Korson, LICENSED PROFESSIONA
• Ryan Thomas Krafft, D.O.
• Kelly Marie Krause, PA-C
• Kristy Dawson Counseling Services
• Carmel C Kruse, FNPBC
• Hayley Erin Lackey
• Michelle Lacriola
• Lagena L Rosa DC PA (Bradford Square Chiropractic)
• Jennifer Lambert, APRN

• Physical Therapist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.