NPIMap

Organization Active NPI

KPT LLC

  • Physical Therapy Clinic/Center
  • Waterloo, IA
National Provider Identifier
1164738027
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
02099 Issued in IA
Legal business name
KPT LLC
Practice address
315 E San Marnan Dr
Waterloo, IA 50702-5837
Phone
(319) 239-5009
NPI assigned
Aug 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Jeffrey Alan Kemp, MS PTNPI 1881693372
Title
Owner
Phone
(319) 239-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 02099 IA Primary

Addresses

Primary practice location

315 E San Marnan Dr
Waterloo, IA 50702-5837

Mailing address

315 E San Marnan Dr
Waterloo, IA 50702-5837
Phone (319) 239-5009

National Provider Directory

National Provider Directory

Locations

999 Home Plz
#100B
Waterloo, IA 50701
Phone (319) 239-5009

315 E San Marnan Dr
Waterloo, IA 50702
Phone (319) 234-2055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1164738027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025837",
            "telephone_number": "319-239-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025837",
            "telephone_number": "319-239-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-239-5009",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "02099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.