Active NPI
Kimberly Hubbard, PT, DPT
- Orthopedic Physical Therapist
- Mesa, AZ
National Provider Identifier
1689175747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9967
- Practice address
- 2225 W Southern Ave
Mesa, AZ 85202-4716 - Phone
- (480) 412-4101
- Fax
- (480) 412-8729
- NPI assigned
- Feb 23, 2018
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9967 | AZ | Primary |
Addresses
Primary practice location
2225 W Southern Ave
Mesa, AZ 85202-4716
Mailing address
1009 W Via de Palmas
San Tan Valley, AZ 85140-7448
Phone (480) 235-1313
Other names 1
- Kimberly Kolb
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9967 | AZ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1689175747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 W VIA DE PALMAS",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407448",
"telephone_number": "480-235-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 W SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852024716",
"telephone_number": "480-412-4101",
"fax_number": "480-412-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "KIMBERLY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "9967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KOLB",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.