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Kimberly Ennis

NPI 1750662078ActiveIndividual· Physical Therapist· Clinton, MS

Physical Therapist in Clinton, Mississippi, licensed in MS, with an NPI issued in August 2011. Medicare paid $568.53 for services to 11 patients in 2024.

Overview

NPI1750662078
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 31, 2011
Last updated in NPPESJul 8, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT0390MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients11
Services billed38 across 5 procedure codes
Paid by Medicare$568.53

Medicare sources and data years

Other physical therapists in Clinton

All 33 physical therapists in Clinton · All physical therapists in Mississippi