Provider Demographics
NPI:1508395492
Name:KEMPTON, JAMES P (PT DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:KEMPTON
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N BROAD ST STE A
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-2700
Mailing Address - Country:US
Mailing Address - Phone:480-807-9000
Mailing Address - Fax:480-807-9234
Practice Address - Street 1:1100 N BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-2700
Practice Address - Country:US
Practice Address - Phone:480-807-9000
Practice Address - Fax:480-807-9234
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13050225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ13050OtherARIZONA STATE BOARD OF PHYSICAL THERAPY