Kimberly A McBride, DPT MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009082 Issued in WA

Practice address

2075 Barkley Blvd
Suite 200
Bellingham, WA 98226-6696

Phone

(360) 733-4008

Fax

(360) 733-4064

NPI assigned

Jul 29, 2005

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kimberly A Matas Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trillium Physical TherapyGroup PAC ID 3274976493, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trillium Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellingham, WA
  • NPI 1245011196

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment NPD
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1225255318

  Physical Therapist

  NPD
• Therapy Management Services, PLLC

  dba Orthosport Physical Therapy

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1528579885
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1023018116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD",
            "address_2": "SUITE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266696",
            "telephone_number": "360-733-4008",
            "fax_number": "360-733-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD",
            "address_2": "SUITE 200",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266696",
            "telephone_number": "360-733-4008",
            "fax_number": "360-733-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "DPT MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2885853",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0236359",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8362246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MATAS",
            "middle_name": "A",
            "credential": "DPT MTC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dona Danel McAlpine, LMP
• Mallory Grace McAuley, LMT
• Alexander Duncan McBean, M.D.
• Alice McBride
• Ann McBride
• Marcia Ann McBride, LMP
• Tonani McBride, LW61578204
• Chloe McCabe, CDPT
• Sydney Elizabeth McCabe, RN
• Bryant R McCall, M.D.

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.