Kim R Keifrider, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10408 Issued in NC

Practice address

100 Elks Club Rd.
Fax and Email: Kimrk@Comporium.Net
Brevard, NC 28712

Phone

(828) 489-2422

NPI assigned

Jun 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608

  Physical Therapist

  NPD (past)
• Encore Rehabilitation, Inc.

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1972543304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WILSON DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123842",
            "telephone_number": "828-489-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELKS CLUB RD.",
            "address_2": "FAX AND EMAIL: KIMRK@COMPORIUM.NET",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "28712",
            "telephone_number": "828-489-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIFRIDER",
        "first_name": "KIM",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salena G Justice, PSYD
• K. Jasinski, D.M.D., P.C.
• Courtney Kanetzke, DPT
• Susan Mary Karr, RPH
• Barry Steven Katell, RPH
• Mary Kelley
• James Stephen Kelling, MD
• Lisa D Kent, ED.S.
• Gerald T Kilpatrick, MD
• Thomas Seung Kim, DPT

• Physical Therapist in Brevard, NC
• Providers in Brevard, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.