Active NPI
Kimberly Jill Frick, PT
- Physical Therapist
- Benton, KY
National Provider Identifier
1487802500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005301
- Practice address
- 2607 Main Street
Benton, KY 42025 - Phone
- (270) 527-0147
- Fax
- (270) 527-0147
- NPI assigned
- Sep 3, 2008
- 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 | 005301 | KY | Primary |
Addresses
Primary practice location
2607 Main Street
Benton, KY 42025
Mailing address
2607 Main Street
Benton, KY 42025
Phone (270) 527-0147
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 |
|---|---|---|---|
| 005301 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1487802500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 MAIN STREET",
"city": "BENTON",
"state": "KY",
"postal_code": "42025",
"telephone_number": "270-527-0147",
"fax_number": "270-527-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 MAIN STREET",
"city": "BENTON",
"state": "KY",
"postal_code": "42025",
"telephone_number": "270-527-0147",
"fax_number": "270-527-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICK",
"first_name": "KIMBERLY",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.