Individual provider Active NPI

Kamble Haverkamp, PTA

  • Physical Therapy Assistant
  • Topeka, KS
National Provider Identifier
1891531026
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-04208 Issued in KS
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 354-6116
Fax
(785) 354-5166
NPI assigned
Jul 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-04208 KS Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 354-6116

Other practice location 1

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0080

Other practice location 2

1504 SW 8th Ave
Topeka, KS 66606-1632
Phone (785) 354-6761

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-04208KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1891531026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116",
            "fax_number": "785-354-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116",
            "fax_number": "785-354-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0080",
            "fax_number": "785-270-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 SW 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061632",
            "country_code": "US",
            "telephone_number": "785-354-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVERKAMP",
        "first_name": "KAMBLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-04208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.