KIMBERLY ROSE ENNIS (PT, DPT) – Orthopedic Physical Therapist, NPI 1376890053

Orthopedic Physical Therapist

KIMBERLY ROSE ENNIS (PT, DPT) is a healthcare provider. based in Fayetteville, Arkansas. specializing in Orthopedic Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 1221670 (TX). The NPI Number for KIMBERLY ROSE ENNIS (PT, DPT) is 1376890053

Main info

Female

Sole Proprietor

14 Years Of Experience

Accepts Medicare Assignment

Name

KIMBERLY ROSE ENNIS (PT, DPT)

NPI

1376890053

Phone

(479) 587-3117

Address

3317 N WIMBERLY DR

Enumeration Date

13 August 2012

Last Update Date

12 February 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4795212752

Graduation Year

2012 (14 years ago)

PAC ID

3274781356

Group Practice PAC ID

2860477189

Professional Enrollment ID

I20160331002578

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY ROSE ENNIS (PT, DPT)

3317 N WIMBERLY DR
2ND FLOOR
FAYETTEVILLE, AR 727034056
Phone: (479) 587-3117
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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Provider's Procedures

KIMBERLY ROSE ENNIS (PT, DPT) performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	AR	97001	Physical therapy evaluation	56	55
PHYSICAL THERAPY	AR	97110	Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1150	93

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2860477189View full group profile

Name	Specialty	State
DR. CHRISTOPHER NOEL HENLEY (M.D.)	Hand Surgery, Orthopedic Surgery	AR
MR. WILLIAM MARK HAMILTON (OTR/L)	Occupational Therapist In Private Practice	OR
DR. MATHEW JACK COKER (M.D.)	Orthopedic Surgery	AR
DR. CHARLES KRISTIAN HANBY (MD)	Orthopedic Surgery	AR
KEVIN WISDOM (P.T.)	Physical Therapist In Private Practice	AR
WESLEY MCGEHEE (PA)	Physician Assistant	AR
SARAH REED	Occupational Therapist In Private Practice	AR
MS. KINJAL CHIRAG PATEL	Physical Therapist In Private Practice	AR
DR. FORREST BLAKE ROBINSON (PT, DPT)	-	AR
LOGAN JERALD DEWHITT (DPT)	Physical Therapist In Private Practice	AR

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY ROSE ENNIS (PT, DPT)?

NPI 1376890053 is assigned to KIMBERLY ROSE ENNIS (PT, DPT) under the national enumeration system.

Is KIMBERLY ROSE ENNIS (PT, DPT) active in the national directory?

KIMBERLY ROSE ENNIS (PT, DPT)'s public NPI profile is in an active state.

What does KIMBERLY ROSE ENNIS (PT, DPT) treat or focus on?

Patients typically see KIMBERLY ROSE ENNIS (PT, DPT) under the specialty Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.

What location shows for KIMBERLY ROSE ENNIS (PT, DPT)?

We surface Fayetteville, Arkansas for KIMBERLY ROSE ENNIS (PT, DPT) based on available NPPES addresses.

How can I contact KIMBERLY ROSE ENNIS (PT, DPT)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.