P Praxis·MD
● Active Type 1 · Individual

Kimberly A Krupack, DPT

Physical Therapist·Vidalia, GA· NPI 1154884666 · Enumerated 2019 · 7 years on NPI
Krupack is 1 of 2 physical therapist providers in Vidalia and 1 of 278 in Georgia.
NPI age
7 years
Enumerated 2019-04-11
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 278 active physical therapist providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
2 states
Top 96% — 4% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
400 Adams St Unit B
Vidalia, GA 304744817
📞 4782540636
Mailing address
24 Chapman Ln
Lock Haven, PA 177458389
📞 5706604184

Additional practice locations

1 secondary location on file with NPPES.

Location 2
260 Lions Hill Rd
State College, PA 168031860
📞 8142358920

Specialties

  • Physical Therapist Primary
    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...
    GA license #PT015837 taxonomy 2251P0200X
  • Physical Therapist
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    taxonomy 225100000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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