Paul Kuipers, DPT, CLT-LANA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3398 Issued in AR

Practice address

58 Burgess LN
Greenbrier, AR 72058-9641

Phone

(501) 402-0787

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

Yes

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

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.

• Lake: Lymphedema and Physical Therapy Solutions, PLLC

  • Physical Therapy Clinic/Center
  • Greenbrier, AR
  • NPI 1487380044
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1942936588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BURGESS LN",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589641",
            "telephone_number": "501-402-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BURGESS LN",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589641",
            "telephone_number": "501-402-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIPERS",
        "first_name": "PAUL",
        "credential": "DPT, CLT-LANA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Johnson, L.P.C.
• Shauna Johnson
• Kala Jones
• Heather Killough, APRN
• Victoria Raylene King
• L & W Billing Service, Inc.
• Pamela Jo Laird, PT, CNA, OT
• Lairds Private Care Inc
• Lake: Lymphedema and Physical Therapy Solutions, PLLC
• Brandy Michelle Lane

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.