Individual provider Active NPI

Kimberly McCole Durant, PT, DPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1871896514
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24051 Issued in MD
Practice address
8420 Gas House Pike Ste U
Frederick, MD 21701-4974
Phone
(240) 651-0149
NPI assigned
Dec 20, 2010
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 24051 MD Primary

Addresses

Primary practice location

8420 Gas House Pike Ste U
Frederick, MD 21701-4974

Mailing address

8420 Gas House Pike Ste U
Frederick, MD 21701-4974
Phone (240) 651-0149

Other practice location 1

998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762
Phone (410) 273-9776

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

LicenseStateTypeSpecialty
24051MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leadbetter Rehabilitation, LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

8420 Gas House Pike
Ste U
Frederick, MD 21701
Phone (240) 559-2624

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1871896514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 GAS HOUSE PIKE STE U",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014974",
            "telephone_number": "240-651-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 GAS HOUSE PIKE STE U",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014974",
            "telephone_number": "240-651-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Hospitality Way",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210011762",
            "country_code": "US",
            "telephone_number": "410-273-9776",
            "fax_number": "410-273-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURANT",
        "first_name": "KIMBERLY",
        "middle_name": "MCCOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.