Kimberly Berger Brandt, PT
Individual provider Active NPI Physical Therapist · Columbus, TX
NPI 1972632354 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1972632354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1168118 (TX)
- Practice address
- 109 Shult Dr
Suite 206
Columbus, TX 78934-3009 - Phone
- (979) 732-8280
- Fax
- (979) 732-9740
- NPI assigned
- Mar 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Colony Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Barbara Gates Mitchem | Past | Accepting new patients | |
| SDS Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1168118 | TX | Yes |
Addresses
Primary practice location
109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Mailing address
109 Shult Dr
Suite 206
Columbus, TX 78934-3009
Phone (979) 732-8280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168118 | Other | TX | TEXAS STATE LICENSE # |
Other providers in Columbus, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.