Active NPI
Sherry Lou Kimbro, ATC
- Specialist
- Tuscaloosa, AL
National Provider Identifier
1962474775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 053
- Practice address
- 1201 Coliseum Drive
Coliseum Athletic Training Room
Tuscaloosa, AL 35487-0001 - Phone
- (205) 348-4421
- Fax
- (205) 348-4419
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 053 | AL | Primary |
Addresses
Primary practice location
1201 Coliseum Drive
Coliseum Athletic Training Room
Tuscaloosa, AL 35487-0001
Mailing address
237 Sandbrook LN
Tuscaloosa, AL 35405-3974
Phone (205) 391-9236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053 | Other | AL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962474775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 SANDBROOK LN",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053974",
"telephone_number": "205-391-9236",
"fax_number": "205-348-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 COLISEUM DRIVE",
"address_2": "COLISEUM ATHLETIC TRAINING ROOM",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354870001",
"telephone_number": "205-348-4421",
"fax_number": "205-348-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRO",
"first_name": "SHERRY",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "053",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.