Kimberly A Egan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001909 Issued in OH

Practice address

1275 Courtyard PL
Centerville, OH 45458-3957

Phone

(937) 225-4500

NPI assigned

Feb 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Baby Steps Physical Therapy Company LLC

  • Physical Therapy Clinic/Center
  • Centerville, OH
  • NPI 1134881147
  NPD Authorized official
• Montgomery County Court House

  dba Public Health-Dayton & Montgomery County-Public Health Clinics

  • State or Local Public Health Clinic/Center
  • Dayton, OH
  • NPI 1538220025
  NPD
• Montgomery County Court House

  dba Montgomery County Board of DDS

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1225395650
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1508162819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 COURTYARD PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583957",
            "telephone_number": "937-885-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 COURTYARD PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583957",
            "telephone_number": "937-225-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT001909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413358",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ear Nose and Throat Associates of Greater Dayton LLC (Hillcrest Hearing Aids)
• Eazy IV, LLC (Eazy iV)
• Edgar Santillan MD LLC
• Daniel Eugene Edmonds, D.C.
• Kendara Elizabeth Edwards, P.T.
• Amanda Jane Elias, PT
• Ellie Home Caring
• David Harold Ellinger, D.D.S.
• Michael A Elrod, DO
• Emergency Medicine Specialists, Inc.

• Physical Therapist in Centerville, OH
• Providers in Centerville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.