Individual provider Active NPI

Alyssa Renee Kimber, DPT

  • Physical Therapist
  • Davenport, IA
National Provider Identifier
1750114054
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
134600 Issued in IA
Practice address
6101 Northwest Blvd
Davenport, IA 52806-1861
Phone
(563) 449-7004
Fax
(563) 449-7094
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 134600 IA Primary

Addresses

Primary practice location

6101 Northwest Blvd
Davenport, IA 52806-1861

Mailing address

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

Other practice location 1

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

Other practice location 2

2900 S 25th St Ste B2
Clinton, IA 52732-7250
Phone (563) 278-8830

Other names 1

  • Dr. Alyssa Renee Kimber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241126003673 NC Practitioner - Physical Medicine and Rehabilitation 1658806757 Reassigns benefits to 1 organization
I20251113004382 IA Practitioner - Physical Therapist in Private Practice 1658806757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134600IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 26, 2024 Accepting new patients
Ora Orthopedics PC CurrentSince Nov 5, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 26, 2024 Accepting new patients
Ora Orthopedics, PC CurrentSince Nov 5, 2025 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

5250 Competition Dr
Ste 100
Bettendorf, IA 52722
Phone (563) 449-7000

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1750114054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 NORTHWEST BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061861",
            "telephone_number": "563-449-7004",
            "fax_number": "563-449-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Competition Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527228837",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 S 25th St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527327250",
            "country_code": "US",
            "telephone_number": "563-278-8830",
            "fax_number": "563-278-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBER",
        "first_name": "ALYSSA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "134600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "KIMBER",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.