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KIMBERLY A KRUPACK DPT
NPI 1154884666
Physical Therapist - Pediatrics in Vidalia, GA

Active since April 11, 2019
400 ADAMS ST UNIT B, VIDALIA, GA 30474(478) 254-0636 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2022, Apr 11, 2019 (2 updates tracked since 2019).

About Kimberly A Krupack Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY A KRUPACK DPT (NPI 1154884666) is an individual pediatrics provider in Vidalia, Georgia, licensed in Georgia (PT015837) and active in the NPI registry since April 2019. She maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1154884666
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKIMBERLY A KRUPACKCredential: DPT
Location Address400 ADAMS ST UNIT BVidalia, GA 30474-4817
Mailing Address24 Chapman LnLock Haven, PA 17745-8389 · (570) 660-4184
Phone(478) 254-0636
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1154884666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · PT015837
Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X
400 ADAMS ST UNIT B, Vidalia, GA 30474
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Secondary Practice Location 1

Location 1260 Lions Hill RdState College, PA 16803-1860 · Phone (814) 235-8920

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY SHAW
Speech-Language Pathologist
400 ADAMS ST UNIT B
VIDALIA, GA 30474
Toombs County (478) 254-0636
MELISSA WILLIAMSON M.ED/ CCC-SLP
Speech-Language Pathologist
400 ADAMS ST UNIT B
VIDALIA, GA 30474
Toombs County (478) 254-0636
LAUREN REBECCA ROWE CCC-SLP
Speech-Language Pathologist
400 ADAMS ST UNIT B
VIDALIA, GA 30474
Toombs County (478) 254-0636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Krupack's NPI number?

The NPI number for Kimberly Krupack is 1154884666. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Kimberly Krupack located?

Kimberly Krupack practices at 400 Adams St Unit B, Vidalia, GA 30474. The listed phone number is (478) 254-0636.

What is Kimberly Krupack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Krupack was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.