Kimberly Ann Williams, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 00008521 Issued in WA

Practice address

588 SE Bishop Blvd Ste a
Pullman, WA 99163-5534

Phone

(509) 332-7778

Fax

(509) 332-7032

NPI assigned

Aug 29, 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 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washougal Sport and Spine IncGroup PAC ID 2163580929, 5 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.

• Washougal Sport and Spine, Inc.

  • Physical Therapy Clinic/Center
  • Washougal, WA
  • NPI 1871743526
  Medicare reassignment Care Compare group NPD
• Pullman Sports Physical Therapy, Inc

  • Physical Therapist
  • Pullman, WA
  • NPI 1366508087
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1093823072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 SE BISHOP BLVD STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635534",
            "telephone_number": "509-332-7778",
            "fax_number": "509-332-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SE BISHOP BLVD STE A",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635534",
            "telephone_number": "509-332-7778",
            "fax_number": "509-332-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 00008521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & IND",
            "identifier": "152258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Verne Wiggins
• Catherine Wilkins, RN
• Jennifer Marie Wilkinson, APRN, PMHNP, DNP
• Willamette Dental Group, P.C.
• Brenda Willett, LPN
• Maxwell Buie Williams, M.D.
• Timothy Joe Williams, PT, DPT
• Ashley Rebecca Wilson, ARNP
• Gregory L Wilson, PH.D
• Stephanie Jo Winchell, ATC

• Physical Therapist in Pullman, WA
• Providers in Pullman, 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 25, 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.