Active NPI
Kendra Brumley, MS PT
- Physical Therapist
- Camden, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2333
- Practice address
- 638 California Ave SW
Camden, AR 71701-4604 - Phone
- (870) 836-1346
- Fax
- (870) 836-1446
- NPI assigned
- Jan 30, 2007
- 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 Therapist | 225100000X | PT2333 | AR | Primary |
Addresses
Primary practice location
638 California Ave SW
Camden, AR 71701-4604
Mailing address
200 Union 433
Smackover, AR 71762
Phone (870) 725-0025
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157397721 | Medicaid | AR | |
| 5Y115 | Other | AR | BLUE CROSS BLUE SHIELD |
| P00178743 | Other | AR | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050221000020 | AR | Practitioner - Physical Therapist in Private Practice | 6204884877 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision One Therapy and Associates
Practice addresses (Care Compare)
3286 W Hillsboro St
El Dorado, AR 71730-6734
Phone (870) 725-2497
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.34 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 81.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2333 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision One Therapy & Associates | Physical Therapist | Current | Accepting new patients |
| Andrew Paul Abraham PT PA | Physical Therapist | Past | Accepting new patients |
| South Arkansas Orthopaedics and Sports Medicine Center PLLC | Past | Accepting new patients | |
| Physical Therapy Center of South Arkansas Inc | Physical Therapist | Past | Accepting new patients |
Locations
726 California Ave SW
Camden, AR 71701
Phone (870) 836-1301
638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000
3286 W Hillsboro St
El Dorado, AR 71730
Phone (870) 725-2497
1373 Highway 79 167 Byp
Fordyce, AR 71742
Phone (870) 220-0021
4450 Smackover Hwy
Smackover, AR 71762
Phone (870) 725-2497
Organizations & group practices 4
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.
-
- Health Service Clinic/Center
- El Dorado, AR
- NPI 1295019321
AR, Physical Therapist
-
- Physical Therapist
- Searcy, AR
- NPI 1043296981
-
- Physical Therapy Clinic/Center
- El Dorado, AR
- NPI 1194892406
Physical Therapist
-
- Specialist
- El Dorado, AR
- NPI 1407845951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1740327808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNION 433",
"city": "SMACKOVER",
"state": "AR",
"postal_code": "71762",
"telephone_number": "870-725-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 CALIFORNIA AVE SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014604",
"telephone_number": "870-836-1346",
"fax_number": "870-836-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMLEY",
"first_name": "KENDRA",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157397721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5Y115",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00178743",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.