Daniel Earl Kimbrell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2710 Issued in SC

Practice address

395 Castleton Cir
Boiling Springs, SC 29316

Phone

(864) 978-0669

NPI assigned

Feb 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1639441769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 CASTLETON CIR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166231",
            "telephone_number": "864-978-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 CASTLETON CIR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "864-978-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "DANIEL",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Walvin Kaseman, D.C.
• Elliott Michael Keller, O.D.
• David Austin Kemmerlin, DC
• Amilliah Wirula Kenya, DC
• Jennifer Lynn Kidane, PA
• Jennifer Ann Kollock, NP
• Crystal Marie Lancaster, ATC
• Dedric Lewis, SCAT, ATC
• Lis & Lauj LLC
• Chong Houa Lo, PHARMD

• Physical Therapy Assistant in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.