Active NPI
Kimberly Suzanne Brunt, LPTA
- Physical Therapy Assistant
- Virginia Beach, VA
National Provider Identifier
1902060890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306000395
- Practice address
- 1200 Atlantic Shores Drive
Seaside Healthcare Center at Atlantic Shores
Virginia Beach, VA 23454 - Phone
- (757) 716-2150
- Fax
- (757) 716-2027
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- 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 Therapy Assistant | 225200000X | 2306000395 | VA | Primary |
Addresses
Primary practice location
1200 Atlantic Shores Drive
Seaside Healthcare Center at Atlantic Shores
Virginia Beach, VA 23454
Mailing address
540 Aberthaw Ave
Virginia Health Rehabilitation Agency LLC
Newport News, VA 23601
Phone (757) 595-1946
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306000395 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1902060890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 ABERTHAW AVE",
"address_2": "VIRGINIA HEALTH REHABILITATION AGENCY LLC",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23601",
"telephone_number": "757-595-1946",
"fax_number": "757-595-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ATLANTIC SHORES DRIVE",
"address_2": "SEASIDE HEALTHCARE CENTER AT ATLANTIC SHORES",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-716-2150",
"fax_number": "757-716-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNT",
"first_name": "KIMBERLY",
"middle_name": "SUZANNE",
"name_prefix": "Miss",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306000395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.