Active NPI
Kimberly B. Viola, DPT
- Physical Therapist
- South Portland, ME
National Provider Identifier
1003241167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4084
- Practice address
- 100 Foden Rd, West
Ste 205
South Portland, ME 04106-2327 - Phone
- (207) 780-8860
- NPI assigned
- Sep 9, 2013
- Last updated
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4084 | ME | Primary |
Addresses
Primary practice location
100 Foden Rd, West
Ste 205
South Portland, ME 04106-2327
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Other names 1
- Kimberly A. Bilodeau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140521001934 | ME | Practitioner - Physical Therapist in Private Practice | 5395968267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDGCAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1003241167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN RD, WEST",
"address_2": "STE 205",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062327",
"telephone_number": "207-780-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLA",
"first_name": "KIMBERLY",
"middle_name": "B.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BILODEAU",
"middle_name": "A.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Portland, ME
- Verus Healthcare LLC
- Kimberly Anne Vesely, PHARMD
- Victoria Libby M.S.Ed., Psy.D. LLC
- Christina Hammond Vietor, DO
- Rachel Lucia Vincent, R.D.
- Hailey Virusso, LMSW-CC
- Nicholas Thomas Viti, OTR/L
- Vna Home Health & Hospice (Northern Light Home Care & Hospice)
- Vna Home Health & Hospice (Northern Light Home Care & Hospice)
- Vna Home Health & Hospice (Northern Light Home Care & Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.