Kimberly A Bisson, PT7811

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7811 Issued in WA

Practice address

18710 Meridian E
Suite 215
Puyallup, WA 98375-2231

Phone

(253) 875-6826

Fax

(253) 875-1547

NPI assigned

Nov 10, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainier Family Physical Therapy P.S.Group PAC ID 0446337000, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Rainier Family Physical Therapy P.S.

  • Physical Therapist
  • Puyallup, WA
  • NPI 1538338611
  Medicare reassignment Care Compare group NPD
• Good Samaritan Community Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Puyallup, WA
  • NPI 1437102399
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1033280250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "SUITE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-6826",
            "fax_number": "253-875-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "SUITE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-6826",
            "fax_number": "253-875-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT7811",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT7811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "192549",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8368847",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Bird, LMT
• Rebecca Christina Bird, MA CCC-SLP
• Belaynesh K Biresaw
• Sharlene Birkland, M.S., LMHC
• Donna Bisogno, MA60436100
• Nathan Bittner, MD
• Julia Ann Ayala Bitton
• Erik Nels Bjarke, M.D.
• Lucinda M Black, PSS
• Megan Black, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.