Adam Foster Kimball, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032556 Issued in PA

Practice address

250 W Chocolate Ave Ste 3
Hershey, PA 17033-1568

Phone

(717) 547-9100

Fax

(717) 547-9101

NPI assigned

Aug 6, 2024

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

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.

• Madden and Gilbert Physical Therapy LP

  • Physical Therapist
  • Harrisburg, PA
  • NPI 1063166916

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Outpatient Physical Therapy Network, LLC

  • Specialist
  • Harrisburg, PA
  • NPI 1962427765
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madden and Gilbert Physical Therapy LP 25 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1093545782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 JONESTOWN RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124086",
            "telephone_number": "717-547-9100",
            "fax_number": "717-547-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W CHOCOLATE AVE STE 3",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331568",
            "telephone_number": "717-547-9100",
            "fax_number": "717-547-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "ADAM",
        "middle_name": "FOSTER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Chan Kim
• Sangsoo Kim, MD
• Yeonsoo Kim, MD
• Carol A Kimak, PA-C
• Mark J Kimak, MD
• James Robert Kimber Jr., D.O.
• Kimberly M Kimchi PHD
• Judy Kimemia
• Shane R Kinard, M.D.
• Kathaleen A King-Dailey, CRNP

• All providers in Hershey, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.