KIMBERLY PARENT (PT, DPT) – Physical Therapist, NPI 1073007597

KIMBERLY PARENT (PT, DPT) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT017567 (OH). The NPI Number for KIMBERLY PARENT (PT, DPT) is 1073007597

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY PARENT (PT, DPT)
NPI
1073007597
Phone
(614) 787-5120
Address
105 SUGAR CAMP CIR
Enumeration Date
18 June 2018
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372273174
Graduation Year
2018 (8 years ago)
PAC ID
0143568584
Group Practice PAC ID
1052200938
Professional Enrollment ID
I20190211002142
Address ID
OH454091979OA105XXCIRX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for KIMBERLY PARENT (PT, DPT)

  • 105, Sugar Camp Circle, Dayton, Montgomery County, Ohio, 45409, United States

    DAYTON, OH 45409

    Phone: (614) 787-5120

    Type: Location

  • 2460 WYOMING ST APT F

    DAYTON, OH 454102942

    Phone: (614) 787-5120

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190211002142IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,08024$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62124$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11519$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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: 1052200938View full group profile
NameSpecialtyState
-OH
-OH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY PARENT (PT, DPT)?
NPI 1073007597 is assigned to KIMBERLY PARENT (PT, DPT) under the national enumeration system.
Is KIMBERLY PARENT (PT, DPT) currently active in the NPI registry?
CMS-published data lists KIMBERLY PARENT (PT, DPT) as an active registrant.
Does KIMBERLY PARENT (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KIMBERLY PARENT (PT, DPT). Clinical services aligned with this taxonomy classification.
Does KIMBERLY PARENT (PT, DPT) practice in Ohio?
You will see Dayton, Ohio on file for KIMBERLY PARENT (PT, DPT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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