Individual provider Active NPI

Kimberly Jean Burton, DPT

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1063175032
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14695 Issued in CA
Practice address
43875 Washington St Ste G
Palm Desert, CA 92211-8249
Phone
(888) 439-1295
Fax
(888) 405-0638
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 14695 CA
Physical Therapist 225100000X 14695 CA Primary

Addresses

Primary practice location

43875 Washington St Ste G
Palm Desert, CA 92211-8249

Mailing address

2208 N Blando Rd
Palm Springs, CA 92262-3318
Phone (760) 409-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002062 CA Practitioner - Physical Therapist in Private Practice 1254729338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Move RehabGroup PAC ID 6709195316, 28 clinicians
James Mawhiney Physical Therapy IncGroup PAC ID 5698056042, 7 clinicians

Practice addresses (Care Compare)

69472 Serenity Rd
Cathedral City, CA 92234-7921
Phone (760) 409-6383

78078 Country Club Dr
Suite 205
Bermuda Dunes, CA 92203-8175
Phone (760) 345-9934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
James Mawhiney Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
PT Works Inc Physical Therapist CurrentSince Oct 19, 2021 Accepting new patients

Locations

78078 Country Club Dr
Ste 205
Bermuda Dunes, CA 92203
Phone (760) 345-9934

43875 Washington St
Ste G
Palm Desert, CA 92211
Phone (760) 701-5046

76375 Country Club Dr
Palm Desert, CA 92211
Phone (760) 345-9934

78206 Varner Rd
Ste D
Palm Desert, CA 92211
Phone (949) 414-5486

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1063175032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 N BLANDO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623318",
            "telephone_number": "760-409-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43875 WASHINGTON ST STE G",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118249",
            "telephone_number": "888-439-1295",
            "fax_number": "888-405-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "14695",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.