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KIMBERLY ROSE ENNIS PT, DPT
NPI 1376890053
Physical Therapist - Orthopedic in Fayetteville, AR

Active since August 13, 2012
92.94/100
CMS Quality Rating
3317 N WIMBERLY DR, 2ND FLOOR, FAYETTEVILLE, AR 72703(479) 587-3117 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Rose Ennis Pt, Dpt NPPES

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

KIMBERLY ROSE ENNIS PT, DPT (NPI 1376890053) is an individual orthopedic provider in Fayetteville, Arkansas, licensed in Texas (1221670) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1376890053
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKIMBERLY ROSE ENNISCredential: PT, DPT
Location Address3317 N WIMBERLY DR, 2ND FLOORFayetteville, AR 72703-4056
Mailing Address3317 N Wimberly Dr, 2nd FloorFayetteville, AR 72703-4056 · (479) 587-3117
Phone(479) 587-3117
Sole ProprietorYes
Enumeration DateAugust 13, 2012
Last NPPES UpdateFebruary 12, 2016
✔ NPI 1376890053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in TX · 1221670
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
3317 N WIMBERLY DR, Fayetteville, AR 72703
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Other Names 1

Former Name (1)Kimberly Rose Wagner Pt

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. CHRISTOPHER NOEL HENLEY M.D.
Orthopaedic Surgery (Hand Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 587-3130
DR. MATHEW JACK COKER M.D.
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
DR. CHARLES KRISTIAN HANBY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
KEVIN WISDOM P.T.
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
DR. JASON H PLEIMANN M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
MARK L MIEDEMA M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
DR. TOM PATRICK COKER M.D.
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752
HAEDEN NICOLE WAYMACK
Physician Assistant
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Washington County (479) 521-2752

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 Ennis's NPI number?

The NPI number for Kimberly Ennis is 1376890053. It was assigned to this individual provider in the NPPES registry on August 13, 2012. The provider is also known as Kimberly Rose Wagner Pt.

Where is Kimberly Ennis located?

Kimberly Ennis practices at 3317 N Wimberly Dr 2nd Floor, Fayetteville, AR 72703. The listed phone number is (479) 587-3117.

What is Kimberly Ennis's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Ennis was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.