KIMBERLY ENNIS (NPI# 1750662078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750662078 |
| Entity Type | Individual |
| Full Name | KIMBERLY ENNIS |
| Practice Address |
719 Clinton Pkwy Ste B Clinton MS 39056-5245 |
| Practice Telephone | 6019247828 |
| Mailing Telephone | 6019247828 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT0390 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356686026 | Kimberly A Ennis | Speech-Language Pathologist | 1351 West Pine Ave., Meridian Care and Rehabilitation Center, Meridian, ID 83642 | 2012-12-06 |
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1275922809 | Kimberly Ennis | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-01-20 |
| 1376890053 | Kimberly Rose Ennis | Physical Therapist | 3317 N Wimberly Dr, 2nd Floor, Fayetteville, AR 72703-4056 | 2012-08-13 |
| 1740304476 | Kimberly Renee Ennis | Social Worker | 75 Hampstead Vlg, Hampstead, NC 28443-8250 | 2007-03-19 |
| Street Address |
719 CLINTON PKWY STE B |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548466360 | Joanna Michelle Albritton | Physical Therapist | 719 Clinton Pkwy, Suite B, Clinton, MS 39056-5245 | 2007-06-27 |
| 1659789485 | Jordan Hill | Physical Therapist | 719 Clinton Pkwy, Suite B, Clinton, MS 39056-5245 | 2014-07-24 |
| 1518222165 | Tammarah Dawn Hougland | Physical Therapist | 719 Clinton Pkwy, Suite B, Clinton, MS 39056-5245 | 2012-07-10 |
| 1225236920 | Arrowhead Physical Therapy Limited Partnership | Physical Therapist | 719 Clinton Pkwy, Suite B, Clinton, MS 39056-5245 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984161 | Neha Rajesh Prajapati | Physical Therapist | 7801 Old Branch Ave Ste 105, Clinton, MD 20735-1641 | 2018-09-04 |
| 1265925929 | Jessica Theresa Luechtefeld | Physical Therapist | 210 S 2nd St Ste A, Clinton, MO 64735-2172 | 2018-06-07 |
| 1255846184 | Harborside Physical Therapy and Wellness Center LLC | Physical Therapist | 7801 Old Branch Ave Ste 203, Clinton, MD 20735-1642 | 2017-12-14 |
| 1194242156 | Prajakta Mayekar | Physical Therapist | 7905 Malcolm Rd Ste 201, Clinton, MD 20735-1749 | 2017-08-29 |
| 1083135362 | Ronak Mohite | Physical Therapist | 8887 Woodyard Rd, Clinton, MD 20735-2754 | 2017-06-27 |
| 1720516347 | Tamika Wright | Physical Therapist | 6811 Eilerson St, Clinton, MD 20735-4030 | 2017-05-26 |
| 1174064414 | Venkataramanaiah Kamatam | Physical Therapist | 957 S Main St, Apt :2, Clinton, IN 47842 | 2017-03-20 |
| 1790145506 | Laura Johnston | Physical Therapist | 1725 S Highway 183 Ste 100, Clinton, OK 73601-9531 | 2016-03-07 |
| 1174988349 | Alex Marchillo | Physical Therapist | 419 Highland Park Ave, Clinton, WI 53525-9795 | 2015-12-15 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.