Individual provider Active NPI

Kimberly Helen Polimeni, PT

  • Physical Therapist
  • Whippany, NJ
National Provider Identifier
1104830926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01001900 Issued in NJ
Practice address
91 South Jefferson Road
Suite 301
Whippany, NJ 07981
Phone
(973) 581-1400
Fax
(973) 581-1406
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01001900 NJ Primary

Addresses

Primary practice location

91 South Jefferson Road
Suite 301
Whippany, NJ 07981

Mailing address

187 Millburn Avenue
Suite 110
Millburn, NJ 07041
Phone (973) 467-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104830926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVENUE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SOUTH JEFFERSON ROAD",
            "address_2": "SUITE 301",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "07981",
            "telephone_number": "973-581-1400",
            "fax_number": "973-581-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIMENI",
        "first_name": "KIMBERLY",
        "middle_name": "HELEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.