Individual provider Active NPI

Kimberly H.J. Nappi, M.P.T.

  • Specialist
  • Gorham, ME
National Provider Identifier
1114103009
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT2880 Issued in ME
Practice address
94 Main St
Unit 2
Gorham, ME 04038-1340
Phone
(207) 839-5860
NPI assigned
Jan 10, 2008
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT2880 ME Primary

Addresses

Primary practice location

94 Main St
Unit 2
Gorham, ME 04038-1340

Mailing address

PO Box 2915
South Portland, ME 04116-2915
Phone (207) 712-6869

Other identifiers 1

IdentifierTypeStateIssuer
432811999MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000091 ME Practitioner - Physical Therapist in Private Practice 1153403928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move Forward PT LLCGroup PAC ID 6002233426, 2 clinicians

Practice addresses (Care Compare)

South Portland, ME 04106
Phone (207) 712-6869

85 E St
South Portland, ME 04106-2870
Phone (207) 835-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Move Forward PT, LLC CurrentSince May 1, 2020 Accepting new patients
Southern Maine Physical Therapy, PA Specialist Past Accepting new patients
Southern Maine Physical Therapy Specialist Past Accepting new patients

Locations

2445 Congress St
Portland, ME 04102
Phone (207) 504-1524

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1114103009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2915",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162915",
            "telephone_number": "207-712-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "address_2": "UNIT 2",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381340",
            "telephone_number": "207-839-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPPI",
        "first_name": "KIMBERLY",
        "middle_name": "H.J.",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PT2880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432811999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.