Individual provider Active NPI

Steven E Kempton, PT

  • Physical Therapist
  • Show Low, AZ
National Provider Identifier
1568790616
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8527PT Issued in AZ
Practice address
5171 Cub Lake Rd
Suite C 360
Show Low, AZ 85901-7888
Phone
(928) 537-0248
Fax
(928) 537-0251
NPI assigned
Dec 1, 2009
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8527PT AZ Primary

Addresses

Primary practice location

5171 Cub Lake Rd
Suite C 360
Show Low, AZ 85901-7888

Mailing address

4566 E Inverness Ave
Ste 103
Mesa, AZ 85206-4633
Phone (480) 813-9191

Other identifiers 1

IdentifierTypeStateIssuer
8527PTOtherAZPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001365 AZ Practitioner - Physical Therapist in Private Practice 5496949406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Physical Therapy LLCGroup PAC ID 4486886785, 2 clinicians

Practice addresses (Care Compare)

4566 E Inverness Ave
Suite 103
Mesa, AZ 85206-4633
Phone (480) 813-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8527PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Physical Therapy LLC Physical Therapist CurrentSince Oct 22, 2013 Accepting new patients
Above & Beyond Therapy Services LLC Physical Therapist PastSince Jun 7, 2018 Accepting new patients
Above & Beyond Therapy Services Past Accepting new patients
Azpt, LLC Physical Therapist PastSince Jul 1, 2010 Accepting new patients

Locations

4566 E Inverness Ave
Ste 103
Mesa, AZ 85206
Phone (480) 813-9191

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1568790616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-813-9191",
            "fax_number": "480-813-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "SUITE C 360",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017888",
            "telephone_number": "928-537-0248",
            "fax_number": "928-537-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8527PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "8527PT",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.