Kimberly A Izzo, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

005690 Issued in GA

Practice address

806 Ridge Creek LN
Woodstock, GA 30189-6207

Phone

(404) 509-7986

Fax

(770) 517-8107

NPI assigned

Nov 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All About Kids, Inc.

  • Early Intervention Provider Agency
  • Woodstock, GA
  • NPI 1518106822
  NPD Authorized official

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411257600000",
    "number": "1861563967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2848",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020015",
            "telephone_number": "404-509-7986",
            "fax_number": "770-517-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 RIDGE CREEK LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896207",
            "telephone_number": "404-509-7986",
            "fax_number": "770-517-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2014-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "005690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000859064F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Health Care Centers of Atlanta, LLC (WellSpring: Integrative Health Care)
• Intuitive Counseling Associates LLC
• Jennifer Erin Iroff, M.S. BCBA
• Susan Iruku
• Nayyer U Islam, MD
• J. Jeff Kincaid, DMD, Ms
• J.a.H. Enterprises, LLC (Dr. Jan H. Henriques)
• Sarah Franze Jabbour, PH.D.
• Alisa McCall Jackson, FNP-C
• Jeneicia Jackson

• Pediatric Physical Therapist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2014; 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.