Active NPI
Kimberly Ann Bromfield, RPT
- Physical Therapist
- Greenville, SC
National Provider Identifier
1508896085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1682
- Practice address
- 1 Creekview CT
Suite B
Greenville, SC 29615-4800 - Phone
- (864) 286-9966
- Fax
- (864) 286-9933
- NPI assigned
- Jul 3, 2006
- 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 | 1682 | SC | Primary |
Addresses
Primary practice location
1 Creekview CT
Suite B
Greenville, SC 29615-4800
Mailing address
1 Creekview CT
Suite B
Greenville, SC 29615
Phone (864) 286-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7649611 | Other | SC | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1682 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Extremity Rehab Specialists, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Greenville, SC
- NPI 1467405860
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508896085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREEKVIEW CT",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-286-9966",
"fax_number": "864-286-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CREEKVIEW CT",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154800",
"telephone_number": "864-286-9966",
"fax_number": "864-286-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMFIELD",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7649611",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.