Kimberly Claire C Chu

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2021033579 Issued in MO

Practice address

2963 Doddridge Ave
Maryland Heights, MO 63043-1736

Phone

(917) 794-7609

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Choice Rehabilitation LLC

  • Occupational Therapist
  • Omaha, NE
  • NPI 1558996967

  Physical Therapist

  NPD

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1104385764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROADMOOR DR APT F",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173154",
            "telephone_number": "917-794-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 DODDRIDGE AVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431736",
            "telephone_number": "917-794-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KIMBERLY CLAIRE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013217A",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2021033579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Brooke Mackey Carenza, OD
• Chalmers Homes Inc.
• Katherine Chambers, P.A.
• Changes Therapeutics Services
• Christian Counseling and Psychological Services
• Lip Tong Chua, LCSW
• Judy Yuk Yiu Chun, O.D.
• Clarkson Optometry Inc
• Jack Claxton
• Erin Clow, PT, DPT

• Physical Therapy Clinic/Center in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.