Kimberly Conner, PTH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3478 Issued in AL

Practice address

407 N Shady LN
Dothan, AL 36303-2946

Phone

(334) 673-7282

Fax

(334) 673-7283

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womens Therapy and Wellness Company

  • Physical Therapy Clinic/Center
  • Dothan, AL
  • NPI 1588716765
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710010475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032946",
            "telephone_number": "334-673-7282",
            "fax_number": "334-673-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N SHADY LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032946",
            "telephone_number": "334-673-7282",
            "fax_number": "334-673-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KIMBERLY",
        "credential": "PTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "51503542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elisabeth Compton, MS, LPC
• Hope Condrey
• Donna J Conn, CRNA
• Charles Fred Conner, M.D.
• James Ryan Conner, M.D.
• Barry Reid Cook
• Bonnie Delane Cook, CRNA
• Jeffrey S Cook, CRNP
• Patricia Cook, LPC
• Roddy Dean Cook, MD

• Physical Therapist in Dothan, AL
• Providers in Dothan, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.