Kirstin Bump

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5547 Issued in AR

Practice address

3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679

Phone

(479) 435-6636

NPI assigned

Aug 16, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kindred Pediatric Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1508574963
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1932931011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMP",
        "first_name": "KIRSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamlesh V Bulchandani, MD
• Natalie Bules, RD, LD
• Kati L. Bullington, OT
• Brandon Scott Bulloch, DDS
• Mary Elizabeth Bullock-Rest, PHD
• Cara L Burcham, OT
• Casey Ann Burd
• Margaret Adams Burge, B.S.,M.A.T., M.S.W
• Barrett Burger, MD
• Evan Burgess, MHPP

• Physical Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.