KIMBERLY BERRY (PT, MPT) – Physical Therapist, NPI 1164276416

KIMBERLY BERRY (PT, MPT) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, MPT. They hold a License No. PT010014 (OH). The NPI Number for KIMBERLY BERRY (PT, MPT) is 1164276416

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY BERRY (PT, MPT)
NPI
1164276416
Phone
(937) 422-3106
Address
940 S ELM ST
Enumeration Date
15 April 2024
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375847907
Graduation Year
2001 (25 years ago)
PAC ID
5092156273
Group Practice PAC ID
8022272848
Professional Enrollment ID
I20240520000693
Address ID
OH453851281XE60XXXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for KIMBERLY BERRY (PT, MPT)

  • 940 S ELM ST

    DAYTON, OH 454492210

    Phone: (937) 422-3106

    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.

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: 2024-05-20

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
I20240520000693IPhysical 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.

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

Insurance plans in this area (ZIP 45449)

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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: 8022272848View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeSC
Physical Therapist In Private PracticeNC
Qualified Speech Language PathologistSC
Qualified Speech Language PathologistNC
Physical Therapist In Private PracticeGA
Qualified Speech Language PathologistIN
-OH
Physical Therapist In Private PracticeMA
-CO

Reviews

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Frequently asked questions

Can I cross-check KIMBERLY BERRY (PT, MPT) using NPI 1164276416?
NPI 1164276416 belongs to KIMBERLY BERRY (PT, MPT); compare other details if you need extra assurance.
Active or inactive — what applies to KIMBERLY BERRY (PT, MPT)?
You should see KIMBERLY BERRY (PT, MPT) as active in CMS-hosted NPPES data.
How would a patient describe KIMBERLY BERRY (PT, MPT)'s focus?
For KIMBERLY BERRY (PT, MPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Ohio is KIMBERLY BERRY (PT, MPT) registered?
Use Dayton, Ohio as the headline location for KIMBERLY BERRY (PT, MPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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