Individual provider Active NPI

Kimberly A Adamson, PT, DPT

  • Physical Therapist
  • Cave Creek, AZ
National Provider Identifier
1598079550
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8984 Issued in AZ
Practice address
4730 E Lone Mountain Rd Ste 114
Cave Creek, AZ 85331-5539
Phone
(480) 272-7140
Fax
(480) 361-8216
NPI assigned
Aug 2, 2010
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 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 8984 AZ Primary

Addresses

Primary practice location

4730 E Lone Mountain Rd Ste 114
Cave Creek, AZ 85331-5539

Mailing address

1338 E Oregon Ave
Phoenix, AZ 85014-3035
Phone (702) 528-9058

Other practice location 1

5020 E. Shea Blvd
Suite 210
Scottsdale, AZ 85254-4694
Phone (480) 807-6500 ext. 7414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000476 AZ Practitioner - Physical Therapist in Private Practice 3476731282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giardina Sportsmedicine Consultants, Inc. Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients

Locations

4730 E Lone Mountain Rd
Ste 114
Cave Creek, AZ 85331
Phone (480) 272-7140

34975 N North Valley Pkwy
Ste 118
Phoenix, AZ 85086
Phone (623) 434-4361

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, 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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1598079550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 E OREGON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143035",
            "telephone_number": "702-528-9058",
            "fax_number": "480-361-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E LONE MOUNTAIN RD STE 114",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315539",
            "telephone_number": "480-272-7140",
            "fax_number": "480-361-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 E. Shea Blvd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544694",
            "country_code": "US",
            "telephone_number": "480-807-6500 x7414",
            "fax_number": "480-897-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.