Active NPI
Kimberly Sue Wah, D.P.T.
- Physical Therapist
- Royal Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22423
- Practice address
- 11947 Southern Blvd
Royal Palm Beach, FL 33411 - Phone
- (561) 204-2213
- Fax
- (561) 204-2218
- NPI assigned
- Jun 26, 2009
- 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 | 22423 | FL | Primary |
Addresses
Primary practice location
11947 Southern Blvd
Royal Palm Beach, FL 33411
Mailing address
11947 Southern Blvd
Royal Palm Beach, FL 33411-7619
Phone (561) 204-2213
Other practice location 1
5026-B N. Federal Hwy
Lighthouse Point, FL 33064
Phone (954) 426-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014001279 | FL | Practitioner - Physical Therapist in Private Practice | 7012226046 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.65 of 100
- Quality
- 66.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22423 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chomsky Therapy Services Inc. | Physical Therapist | Current | Accepting new patients |
| Tenet Florida Physician Services II, LLC | Physical Therapist | Current | Accepting new patients |
| Tenet Florida Physician Services II, LLC | Current | Accepting new patients | |
| Atlantic Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
6609 Woolbright Rd
Ste 420
Boynton Beach, FL 33437
Phone (561) 200-4262
6609 W Woolbright Rd
#P
Boynton Beach, FL 33437
Phone (561) 200-4262
3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
5325 Greenwood Ave
Ste 304
West Palm Beach, FL 33407
Phone (321) 840-1960
Interoperability endpoints
- kimberly.wah.1@13023.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1568699247
FL, Physical Therapist
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
FL, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1770391286
-
- Physical Therapist
- Lighthouse Point, FL
- NPI 1982828695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1053549154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11947 SOUTHERN BLVD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334117619",
"telephone_number": "561-204-2213",
"fax_number": "561-204-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11947 SOUTHERN BLVD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33411",
"telephone_number": "561-204-2213",
"fax_number": "561-204-2218"
}
],
"practiceLocations": [
{
"address_1": "5026-B N. Federal Hwy",
"address_purpose": "LOCATION",
"city": "Lighthouse Point",
"state": "FL",
"postal_code": "33064",
"country_code": "US",
"telephone_number": "954-426-8884",
"fax_number": "954-426-8885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAH",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Miss",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.