Kimberly Cleveland, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1249550 Issued in TX

Practice address

4624 Summerdale Dr
Pace, FL 32571-1368

Phone

(850) 994-3456

NPI assigned

Jan 25, 2016

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Corbin Former name

Electronic endpoints 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Talk Place LLC

  • Clinic/Center
  • Crestview, FL
  • NPI 1932861234
  NPD
• Kids Talk Place LLC

  • Clinic/Center
  • Pace, FL
  • NPI 1679590632
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1609233477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GERMAN RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164285356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 SUMMERDALE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711368",
            "telephone_number": "850-994-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 German Rd",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "PA",
            "postal_code": "164285356",
            "country_code": "US",
            "telephone_number": "814-881-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35866",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1249550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meme@ptcnwfl.com",
            "affiliation": "N",
            "address_1": "9600 German Rd",
            "city": "North East",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164285356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CORBIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin D Chiasson
• Kaitlyn Christian, ARNP
• Jason Andrew Christison, APRN
• Julie Jayne Christofferson
• Joseph Cleveland, RPH
• Christine Collier, LMT
• Columbia Hospital Corporation of South Broward (HCA Florida Pea Ridge Emergency, a department of HCA Florida West Hospital)
• Comfort Dental Care and Orthodontics of Pace LLC (Comfort Dental Care and Orthodontics)
• Comfortable Care Dental Health Professionals, P.a. (Pace Dental Care)
• Comfortable Care Dental Health Professionals. P.a. (Blue Horizon Dental Care)

• Physical Therapist in Pace, FL
• Providers in Pace, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.