Active NPI
Kim Train, PT
- Physical Therapist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023035586
- Practice address
- 3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517 - Phone
- (573) 449-8771
- Fax
- (573) 449-6563
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1137263 | TX | |
| Physical Therapist | 225100000X | 2023035586 | MO | Primary |
Addresses
Primary practice location
3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Mailing address
3301 Berrywood Dr Ste 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1137263 | Other | TX | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Silva LN
Suite B
Moberly, MO 65270-3600
Phone (660) 263-6223
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Central Missouri Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Select Physical Therapy Texas Limited Partnership | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
2100 Silva Ln
Ste B
Moberly, MO 65270
Phone (660) 263-6223
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Physical Therapist
- Columbia, MO
- NPI 1558436592
-
- Physical Therapy Clinic/Center
- Cape Girardeau, MO
- NPI 1316907884
-
- Physical Therapy Clinic/Center
- Houston, TX
- NPI 1356304323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1285743856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 BERRYWOOD DR STE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016517",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BERRYWOOD DR STE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016517",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAIN",
"first_name": "KIM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1137263",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023035586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1137263",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.