Active NPI
Kimberly M Van Liempd, PT
- Physical Therapist
- South Daytona, FL
National Provider Identifier
1780713628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26372
- Practice address
- 401 Venture Dr
Suite 3 C
South Daytona, FL 32119-3478 - Phone
- (407) 386-5042
- NPI assigned
- Mar 5, 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 | 26372 | FL | Primary |
Addresses
Primary practice location
401 Venture Dr
Suite 3 C
South Daytona, FL 32119-3478
Mailing address
801 N Orange Ave
610
Orlando, FL 32801-1026
Phone (407) 263-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26372 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1780713628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N ORANGE AVE",
"address_2": "610",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328011026",
"telephone_number": "407-263-7155",
"fax_number": "407-263-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 VENTURE DR",
"address_2": "SUITE 3 C",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193478",
"telephone_number": "407-386-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN LIEMPD",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.