Individual provider Active NPI

Kimberly Diane Stieber, PT, DPT

  • Physical Therapist
  • Eastland, TX
National Provider Identifier
1063754117
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1226856 Issued in TX
Practice address
304 S Daugherty Ave
Eastland, TX 76448-2609
Phone
(254) 631-5358
Fax
(254) 631-0819
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1226856 TX Primary

Addresses

Primary practice location

304 S Daugherty Ave
Eastland, TX 76448-2609

Mailing address

PO Box 897
Eastland, TX 76448-0897
Phone (254) 631-5358

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
1226856TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1063754117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764480897",
            "telephone_number": "254-631-5358",
            "fax_number": "254-631-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S DAUGHERTY AVE",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482609",
            "telephone_number": "254-631-5358",
            "fax_number": "254-631-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEBER",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.