Kimberly Marie Kivlighan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CSP2005110 Issued in OH

Practice address

1397 S Canfield Niles Rd
Unit 1
Austintown, OH 44515-4084

Phone

(330) 953-0129

Fax

(330) 953-0650

NPI assigned

Apr 12, 2007

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 1

Other names 1

• Kimberly Marie Berg Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tudor Home Therapies IncGroup PAC ID 1850290644, 18 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.

• Tudor Home Therapies Inc

  dba Tudor Physical Therapy Centers

  • Physical Therapist
  • Austintown, OH
  • NPI 1295783389

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Tu Dor Home Therapies Inc

  dba Tu Dor Physical Therapy Centers

  • Physical Therapist
  • Boardman, OH
  • NPI 1164470233

  Speech-Language Pathologist

  NPD (past)
• Tu Dor Home Therapies Inc

  • Physical Therapist
  • Newton Falls, OH
  • NPI 1164603320

  Speech-Language Pathologist

  NPD (past)
• Tudor Home Therapies, Inc

  dba TuDor Physical Therapy Centers

  • Physical Therapist
  • Poland, OH
  • NPI 1568750875

  Speech-Language Pathologist

  NPD (past)
• Tudor Home Therapies, Inc

  dba Tudor Physical Therapy Centers

  • Physical Therapist
  • Salem, OH
  • NPI 1902278971

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1043434251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S CANFIELD NILES RD",
            "address_2": "UNIT 1",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154084",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVLIGHAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "CSP2005110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032248",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERG",
            "middle_name": "MARIE",
            "credential": "ST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenifer R Kiernan, PT
• Melissa S Kimble
• Ashley King, LPN
• Dillan G Kinsley
• Robert Dow Kiser, CDCA
• Renee M Klaric, LPCC
• Melanie Marie Klockner, CPNP-PC
• Naysa Knapp
• Tayler Knepper
• Connie A Knight

• Speech-Language Pathologist in Austintown, OH
• Providers in Austintown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.