Kimberly Ann Barry, PT
Individual provider Active NPI Physical Therapist · Aptos, CA
NPI 1093143166 · NPPES record last updated Oct 28, 2013
Key facts
- NPI
- 1093143166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT26784 (CA)
- Practice address
- 2505C Cabrillo College Dr.
Aptos, CA 95003-3166 - Phone
- (831) 464-3901
- Fax
- (831) 464-3010
- NPI assigned
- Oct 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shepardson Physical Therapy Corporation
Ronning Physical Therapy, Inc.
Practice addresses (Care Compare)
San Jose, CA 95125
Phone (831) 999-0880
2505 Cabrillo College Dr
C
Aptos, CA 95003-3166
Phone (831) 464-3901
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131230001323 | CA | Practitioner - Physical Therapist in Private Practice | 7719114479 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26784 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronning Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
2505 Cabrillo College Dr
Ste C
Aptos, CA 95003
2505 Cabrillo College Dr
Aptos, CA 95003
Phone (831) 464-3901
2505 Cabrillo College Dr
#C
Aptos, CA 95003
Phone (831) 464-3901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26784 | CA | Yes |
Addresses
Primary practice location
2505C Cabrillo College Dr.
Aptos, CA 95003-3166
Mailing address
PO Box 698
Capitola, CA 95010-0698
Phone (831) 818-2724
Other providers in Aptos, CA
- Carolyn Jean Bailey
- Elyse Rochelle Bainbridge
- Elizabeth Ballew
- Shawna Bally
- Alexander Barber
- Thomas Edward Bastasch
- Deborah Sue Bates
- Lance Bauscher
- Rachel Bayly
- Carol Beatty
All providers in Aptos, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.