Active NPI
Jana Leigh Kimball, PT, DPT
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1003948274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10005
- Practice address
- 3303 N Pines Rd
Spokane Valley, WA 99206-4612 - Phone
- (704) 516-3654
- NPI assigned
- Mar 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10005 | NC | Primary |
| Physical Therapist | 225100000X | 60091779 | WA |
Addresses
Primary practice location
3303 N Pines Rd
Spokane Valley, WA 99206-4612
Mailing address
3303 N Pines Rd
Spokane Valley, WA 99206-4612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60091779 | WA | MD | Physical Therapist |
| 10005 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1003948274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 N PINES RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 N PINES RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064612",
"telephone_number": "704-516-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "JANA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10005",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60091779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.