Organization Active NPI

Kempton and Kempton Physical Therapy and Sports Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Queen Creek, AZ
National Provider Identifier
1427239771
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5494 Issued in AZ
Legal business name
KEMPTON AND KEMPTON PHYSICAL THERAPY AND SPORTS REHABILITATION LLC
Practice address
8495 S Power Rd Ste 103
Queen Creek, AZ 85142-6068
Phone
(480) 840-3564
Fax
(480) 840-3565
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mr. Brad John Kempton, MSPTNPI 1558368217
Title
Physical Therapist/Owner
Phone
(480) 840-3564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5494 AZ Primary

Addresses

Primary practice location

8495 S Power Rd Ste 103
Queen Creek, AZ 85142-6068

Mailing address

8495 S Power Rd
Suite 103
Queen Creek, AZ 85142-6068
Phone (480) 840-3564

Other identifiers 1

IdentifierTypeStateIssuer
646002MedicaidAZ

Other names 1

  • KEMPTON AND KEMPTON PT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001382 AZ Part B Supplier - Clinic/Group Practice 7618937681 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

8490 S Power Rd
Ste 115
Gilbert, AZ 85297
Phone (480) 840-3564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1427239771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 S POWER RD",
            "address_2": "SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426068",
            "telephone_number": "480-840-3564",
            "fax_number": "480-840-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 S POWER RD STE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426068",
            "telephone_number": "480-840-3564",
            "fax_number": "480-840-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPTON AND KEMPTON PHYSICAL THERAPY AND SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "KEMPTON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "480-840-3564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "5494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEMPTON AND KEMPTON PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.