Kimberly Barberree, PT
Individual provider Active NPI Physical Therapist · Crestview, FL
NPI 1376385369 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1376385369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT9442 (FL)
- Practice address
- 638 N Ferdon Blvd Ste 1
Crestview, FL 32536-2170 - Phone
- (850) 331-3017
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pro Vita Physical Therapy LLC
Practice addresses (Care Compare)
1987 Hwy 87
Navarre, FL 32566-1046
Phone (850) 331-3017
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719002572 | FL | Practitioner - Physical Therapist in Private Practice | 9739625203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Vita Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
638 N Ferdon Blvd
Ste 1
Crestview, FL 32536
Phone (850) 331-3017
1987 Highway 87
Navarre, FL 32566
Phone (850) 331-3017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9442 | FL | Yes |
Addresses
Primary practice location
638 N Ferdon Blvd Ste 1
Crestview, FL 32536-2170
Mailing address
638 N Ferdon Blvd Ste 1
Crestview, FL 32536-2170
Phone (850) 331-3017
Other names
- Kimberly Barnes
Other providers in Crestview, FL
- Jill Ballantyne
- Shannon Rae Banaszak
- Glenn M Bankert
- Beverly H. Barbarisi
- Barbee Medical Group LLC
- Diadema G Barefield
- Barnes Healthcare of FL LLC
- Tami Michelle Barnes
- Terence Daniel Barnes
- Andrea Barnhill
All providers in Crestview, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.