Active NPI
Kimberly Danielle Primrose, PT, DPT
- Physical Therapist
- Norfolk, NE
National Provider Identifier
1629721857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3028
- Practice address
- 2700 W Norfolk Ave
Norfolk, NE 68701-4438 - Phone
- (402) 644-7396
- Fax
- (402) 644-7394
- NPI assigned
- Jan 28, 2022
- 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 | 3028 | NE | Primary |
Addresses
Primary practice location
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Mailing address
1500 Koenigstein Ave
Norfolk, NE 68701-3664
Phone (402) 644-7396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dprimrose@frhs.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1629721857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 KOENIGSTEIN AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013664",
"telephone_number": "402-644-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W NORFOLK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014438",
"telephone_number": "402-644-7396",
"fax_number": "402-644-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMROSE",
"first_name": "KIMBERLY",
"middle_name": "DANIELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dprimrose@frhs.org",
"affiliation": "N",
"address_1": "2700 W Norfolk Ave",
"city": "Norfolk",
"state": "NE",
"country_code": "US",
"postal_code": "687014438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.