Active NPI
Kimberly Jo Tardif, M.S.P.T.
- Physical Therapist
- Ventura, CA
National Provider Identifier
1902078645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13931
- Practice address
- 2895 Loma Vista Rd
Suite H
Ventura, CA 93003-1572 - Phone
- (805) 643-4093
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PT13931 | CA | Primary |
Addresses
Primary practice location
2895 Loma Vista Rd
Suite H
Ventura, CA 93003-1572
Mailing address
2895 Loma Vista Rd
Suite B
Ventura, CA 93003-1572
Phone (805) 643-4093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-6608 | Other | CA | MEDICARE PROV.ID |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Ventura, CA
- NPI 1770665630
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1902078645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2895 LOMA VISTA RD",
"address_2": "SUITE B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031572",
"telephone_number": "805-643-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 LOMA VISTA RD",
"address_2": "SUITE H",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031572",
"telephone_number": "805-643-4093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARDIF",
"first_name": "KIMBERLY",
"middle_name": "JO",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROV.ID",
"identifier": "05-6608",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.