Active NPI
Kimberly Shrum
- Physical Therapist
- Camby, IN
National Provider Identifier
1215333745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007898A
- Practice address
- 10799 Alliance Dr
Camby, IN 46113-8909 - Phone
- (317) 855-6123
- NPI assigned
- Nov 11, 2014
- Sex
- Female
- 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 | 05007898A | IN | Primary |
Addresses
Primary practice location
10799 Alliance Dr
Camby, IN 46113-8909
Mailing address
3470 Teeters Rd
Martinsville, IN 46151-8910
Phone (317) 332-3156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007898A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1215333745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 TEETERS RD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461518910",
"telephone_number": "317-332-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10799 ALLIANCE DR",
"city": "CAMBY",
"state": "IN",
"postal_code": "461138909",
"telephone_number": "317-855-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUM",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007898A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camby, IN
- Jennifer G Robertson, LMHC
- Flor Del Carmen Romero
- Donald Ray Russell, RPH
- Michael Eugene Salrin Jr., PHARM.D.
- Rakel Sherrod
- Daniel Henry Sotak, MT/AMT
- St. Francis Hospital and Health Centers (Heartland Crossing Pediatrics)
- St. Francis Hospital and Health Centers (Heartland Internal Medicine)
- Alexander Stavretis
- Angela Strahan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.