Kimberly Sarah Blackaby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022899 Issued in PA

Practice address

41 E Elizabeth Ave
Bethlehem, PA 18018-6507

Phone

(610) 868-2211

Fax

(610) 868-8871

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1710313036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186507",
            "telephone_number": "610-868-2211",
            "fax_number": "610-868-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186507",
            "telephone_number": "610-868-2211",
            "fax_number": "610-868-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKABY",
        "first_name": "KIMBERLY",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lynn Birckhead, LCSW
• Ian Birky, PH.D.
• Alexis Bishop, CRNA
• Susan Bisio, PT
• Jason Bruce Black, D.O.
• Kimberly Blackham, PH.D., LMFT
• Nancy Jane Blaha, LCSW BCD
• Britani Blahoski, RN
• Patrick T Blanchfield, M.D.
• Blaire Blaufarb, MS CCC-SLP/L

• Physical Therapist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.