Active NPI
Douglas Kemp, PT
- Physical Therapist
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006957L
- Practice address
- 3103 Paper Mill Rd
Wyomissing, PA 19610 - Phone
- (610) 376-2100
- Fax
- (610) 750-5806
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006957L | PA | Primary |
Addresses
Primary practice location
3103 Paper Mill Rd
Wyomissing, PA 19610
Mailing address
3103 Paper Mill Rd
Wyomissing, PA 19610
Phone (610) 376-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00065551 | Other | PA | RAILROAD MEDICARE |
| 50029021 | Other | PA | CAPITAL BLUE CROSS |
| 689967 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3103 Papermill Rd
Wyomissing, PA 19610-3337
Phone (610) 376-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Orthopaedic Specialists LLC | Current | Accepting new patients | |
| Keystone Orthopaedic Specialists LLC | Physical Therapist | Current | Accepting new patients |
| WRC Sports and Fitness Limited Partnership | Physical Therapist | Current | Accepting new patients |
| West Schuylkill Physical Therapy Services, P.C. | Physical Therapist | Past | Accepting new patients |
| Pottsville Area Physical Therapy Services P.C. | Physical Therapist | Past | Accepting new patients |
Locations
11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810
301 S 7th Ave
Ste 3020
West Reading, PA 19611
Phone (484) 628-4656
3103 Papermill Rd
Wyomissing, PA 19610
Phone (610) 376-2100
2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646
1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Wyomissing, PA
- NPI 1982147161
Physical Therapist
-
- Orthopaedic Surgery Physician
- Wyomissing, PA
- NPI 1255666012
Physical Therapist
-
- Foot & Ankle Surgery Podiatrist
- Wyomissing, PA
- NPI 1780622217
-
- Orthopaedic Surgery Physician
- Reading, PA
- NPI 1801368097
-
- Physical Therapist
- Pottsville, PA
- NPI 1336109826
-
- Physical Therapist
- Pine Grove, PA
- NPI 1972528024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1154388593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 PAPER MILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19610",
"telephone_number": "610-376-2100",
"fax_number": "610-750-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 PAPER MILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19610",
"telephone_number": "610-376-2100",
"fax_number": "610-750-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "DOUGLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006957L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00065551",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50029021",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "689967",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.