KMT Therapy and Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KMT THERAPY AND REHABILITATION LLC

Practice address

508 Wildrose LN
Englewood, OH 45315-7725

Phone

(317) 200-2099

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Kymberly Marlena Thomas, DPT

Title

Physical Therapist

Phone

(317) 200-2099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1942911847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 WILDROSE LN",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453157725",
            "telephone_number": "317-200-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WILDROSE LN",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453157725",
            "telephone_number": "317-200-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMT THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KYMBERLY",
        "authorized_official_middle_name": "MARLENA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "317-200-2099",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vaniska Kirklin-Thomas, CNP
• Susan Marie Knapke, RDN, LD
• Angela Knipfer, LMT
• David Michael Kreusch, D.C.
• Mark Jerome Kreusch, D.C.
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• Physical Therapist in Englewood, OH
• Providers in Englewood, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.