Kelley M Zimbelman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5116 Issued in OK

Practice address

1071 W Blue Starr Dr
Suite 105
Claremore, OK 74017-2868

Phone

(918) 342-3800

Fax

(918) 342-3900

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelley M Hendrick Former name

Medicare fee-for-service enrollment

Enrolled in TN, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Elite Sports Medicine and Orthopaedic Center, PLC

  • Specialist
  • Nashville, TN
  • NPI 1528281623
  Medicare reassignment NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Germantown, MD
  • NPI 1306251434

  DC

  Medicare reassignment NPD
• Elite Sports Medicine and Orthopaedic Center, PLC

  • Orthopaedic Surgery Physician
  • Brentwood, TN
  • NPI 1669115622
  NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1295618692
  NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1952751570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR",
            "address_2": "SUITE 105",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172868",
            "telephone_number": "918-342-3800",
            "fax_number": "918-342-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR",
            "address_2": "SUITE 105",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172868",
            "telephone_number": "918-342-3800",
            "fax_number": "918-342-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBELMAN",
        "first_name": "KELLEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "HENDRICK",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Britton Young
• Matt Youngberg, LPC
• Your Choice Healthcare LLC
• Shanze H Zaidi, DMD
• Angela Zamora Franco
• Dorothy Gail Zornes, RN

• Physical Therapist in Claremore, OK
• Providers in Claremore, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.