Kimberly Ann Bunten, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R1127 Issued in MO

Practice address

1219 S Main St
Palmyra, MO 63461-1943

Phone

(573) 769-6166

Fax

(573) 769-2356

NPI assigned

Mar 16, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K.B. Therapy IncGroup PAC ID 2860444973, 4 clinicians

LH Therapy LLCGroup PAC ID 3971032962, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K.B. Therapy, Inc.

  dba Priority Physical Therapy

  • Physical Therapist
  • Palmyra, MO
  • NPI 1932141702

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• LH Therapy, LLC

  dba Priority Physical Therapy

  • Physical Therapist
  • Florence, SC
  • NPI 1598583254
  Medicare reassignment Care Compare group NPD
• K.B.Therapy, Inc.

  dba Priority Physical Therapy

  • Physical Therapist
  • Kahoka, MO
  • NPI 1326169723
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376677682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611923",
            "telephone_number": "573-769-1066",
            "fax_number": "573-769-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S MAIN ST",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611943",
            "telephone_number": "573-769-6166",
            "fax_number": "573-769-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R1127",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483875811",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blankenship Residentail Care Center, LLC
• Blessing Corporate Services Inc (Palmyra Clinic)
• Blessing Hospital (Blessing Health Palmyra)
• Blessing Hospital (Brown Drug Palmyra)
• Bristol Care, Inc.
• Deidra F Cole, DPT
• Family Chiropractic Care, Inc.
• Amanda Elizabeth Gottman, DC
• Amber Nicole Gottman, NP-C
• Irina Nicole Gottman, PT

• Physical Therapist in Palmyra, MO
• Providers in Palmyra, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.