Active NPI
Kimberly Ann Kindle, PTA
- Physical Therapy Assistant
- Jackson, TN
National Provider Identifier
1699119107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3630
- Practice address
- 29 N Star Dr
Suite E
Jackson, TN 38305-6656 - Phone
- (731) 410-2260
- NPI assigned
- Apr 26, 2013
- Last updated
- Apr 26, 2013
- 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 Therapy Assistant | 225200000X | 3630 | TN | Primary |
Addresses
Primary practice location
29 N Star Dr
Suite E
Jackson, TN 38305-6656
Mailing address
230 Pete Dr
Lexington, TN 38351-4728
Phone (731) 968-5470
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Home Care, LLC | Past | Accepting new patients |
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.
-
dba Tennessee Quality Care - Home Health East
- Home Health Agency
- Lebanon, TN
- NPI 1245059005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1699119107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 PETE DR",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383514728",
"telephone_number": "731-968-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N STAR DR",
"address_2": "SUITE E",
"city": "JACKSON",
"state": "TN",
"postal_code": "383056656",
"telephone_number": "731-410-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLE",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "3630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.