Kimberly Ferguson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213151 Issued in VA

Practice address

510 Independence Pkwy Ste 850
Chesapeake, VA 23320-5196

Phone

(757) 290-0202

NPI assigned

Oct 20, 2020

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

Electronic endpoints 1

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1710586979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STATION DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349346",
            "telephone_number": "804-678-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 INDEPENDENCE PKWY STE 850",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205196",
            "telephone_number": "757-290-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chesapeake",
            "affiliation": "N",
            "address_1": "510 Independence Pkwy Ste 850",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233205196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Ferebee, MD
• Grace Leanne Ferebee
• Antoinette White Ferguson
• Brittany Ferguson, ATC, PES
• Kathryn Jill Ferguson, LCSW
• Kimberly Maxine Ferguson, LMT
• Stacey Fernandes, PHD, LPC
• Zenia Fernandes
• Camile Fernandez Martinez
• Alfred E Fernandez, M.D.

• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.