Kimberley A Wilson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006920 Issued in KY

Practice address

6 Creekview CT
Shepherdsville, KY 40165-8945

Phone

(502) 939-8564

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Inspire Physical Therapy

  • Physical Therapy Clinic/Center
  • Shepherdsville, KY
  • NPI 1346871571

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1114474434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CREEKVIEW CT",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658945",
            "telephone_number": "502-939-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CREEKVIEW CT",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658945",
            "telephone_number": "502-939-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8149 New LaGrange Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40222",
            "country_code": "US",
            "telephone_number": "502-939-8564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "006920",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hard copy",
            "address_1": "6 Creekview Ct",
            "city": "Shepherdsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401658945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wheeler Family Dentistry, PLLC
• Amber Whitlock, FNP-C
• Lauren Renee Whitney, OTR
• Cody Williams
• Joel Shane Wilson, MS, LPCC
• Kayla Windle, APRN
• Brian Woodring
• Sara Woodring, MD
• Erika Jean Marie Wooldridge, APRN
• Kimberly S Wooten, M.S. CCC/SLP

• Physical Therapist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.