Kimberly S. Cockrum, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0663 Issued in SD

Practice address

520 N Canyon St
Spearfish, SD 57783-2320

Phone

(605) 642-7996

Fax

(605) 642-5955

NPI assigned

Jul 11, 2005

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kimberly S. Cockrum Former name

Medicare fee-for-service enrollment

Enrolled in SD, WY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Motion Physical Therapy IncGroup PAC ID 5395877328, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Motion Physical Therapy, Inc

  • Physical Therapist
  • Spearfish, SD
  • NPI 1649598517

  WY

  Medicare reassignment Care Compare group
• Acucare Physical Therapy, LTD

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1386695526
  NPD (past)
• Matson Therapy, LLC

  dba Black Hills Physical Therapy

  • Physical Therapist
  • Spearfish, SD
  • NPI 1710565684
  NPD (past)
• North Central Urology PC

  • Urology Physician
  • Sioux Falls, SD
  • NPI 1912093881
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1922006303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRUM",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5832932",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "4995254",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120143300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COCKRUM",
            "middle_name": "S.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brynn E Christensen
• Clegg Counseling LLC
• Michele Marie Clodfelder, MS, LPC-MH
• Sandra D Clooten, CNP
• Rachelle Cockrell
• Victoria Lee Collins, FNP-BC
• Drew Couch
• Seth Courtney, MS, NCC, LPC
• Erin R Covey, MS, ATC
• Devin Crane, DO

• Physical Therapist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.