KIMBRALY A KETTLER MPT
NPI 1659498038
Physical Therapist - Pediatrics in La Grange, KY
NPI Status: Active since March 23, 2007
Contact Information
4603 TIMBERWALK CT
LA GRANGE, KY
ZIP 40031
Phone: (703) 864-6695
Fax: (888) 830-3233
- Individual
- Female
- Physical Therapist
- Pediatrics
About KIMBRALY KETTLER
This page provides the complete NPI Profile along with additional information for Kimbraly Kettler, a provider established in La Grange, Kentucky with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1659498038 assigned on March 2007. The practitioner's primary taxonomy code is 2251P0200X with license number 007521 (KY). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1659498038
- Provider Name
- KIMBRALY A KETTLER MPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4603 TIMBERWALK CT LA GRANGE, KY 40031
- Location Phone
- (703) 864-6695
- Location Fax
- (888) 830-3233
- Mailing Address
- 4603 TIMBERWALK CT LA GRANGE, KY 40031
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2007
- Last Update Date
- 02-27-2020
- Code Navigator
Location Map
Secondary Locations
- 10924 Worthington Ln
Prospect, KY 40059
(513) 600-9279
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 007521
- License State
- KY
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT002705 | OTHER (01) | WV | LICENSE # |
| 002097665 | OTHER (01) | WV | MT STATE BCBS |
| 1073906 | OTHER (01) | WV | BRICKSTREET - WORKERS COMP |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 4 | 9 | 8 | 0 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 8 | 9 | 16 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 8 + 9 + 1 + 6 + 0 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1659498038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003101304 | MARLA LANTZ CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1831537745 | MRS. BAYLIE CATHLEEN RICHTER M.S. CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (502) 235-2428 |
| 1164898672 | MACIE HALE Individual | Occupational Therapist (Pediatrics) | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1528502838 | MEGAN ZEMAN M.S., CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1649717331 | NANCY MARSHALL DPT Individual | Physical Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (502) 460-1704 |
| 1245732643 | KATIE ELIZABETH BOTNER Individual | Developmental Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1265574206 | MS. SALLY ANN MCCULLUM Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1518438076 | LAURA ANDREA PEREZ OTR/L Individual | Occupational Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1235610858 | DANIELLE BALL MOTR/L Individual | Occupational Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1851921464 | JOHANNAH ILLEEN GABBARD Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 575-8129 |
| 1861620544 | LISA MICHELLE DEAN OTR/L Individual | Occupational Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1407244932 | MRS. APRIL MARIE MANNING M.ED. NBCT Individual | Developmental Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1114436466 | MRS. ALEXANDRIA JADE HAYDEN MS, CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1710314018 | MISS SARAH E FUENTES M.A., CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1932596640 | MRS. MELONIE MARSHALL M.S. CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1104228279 | MRS. WANDA WILSON BOWSER M.S., CCC-SLP Individual | Speech-Language Pathologist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1467917302 | NANCY C DOWNS Individual | Developmental Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (703) 864-6695 |
| 1720465198 | MRS. ELIZABETH VIRGINIA REYNOLDS OTR/L Individual | Occupational Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (606) 776-0071 |
| 1497315782 | MRS. SHANDELA HOPE BREWER Individual | Developmental Therapist | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (502) 930-9057 |
| 1760015960 | MRS. ALEXIS PAIGE YORK COTA/L Individual | Occupational Therapy Assistant | 4603 TIMBERWALK CT LA GRANGE, KY 40031 (502) 905-2558 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659498038, enumerated in the NPI registry as an "individual" on March 23, 2007
The provider is located at 4603 Timberwalk Ct La Grange, Ky 40031 and the phone number is (703) 864-6695
The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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