Individual provider Active NPI

Kimberlee M Carpenter, P.T.

  • Physical Therapist
  • North Tonawanda, NY
National Provider Identifier
1154541399
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028596 Issued in NY
Practice address
3780 Commerce CT Ste 300
North Tonawanda, NY 14120-2025
Phone
(716) 282-2888
Fax
(716) 285-1281
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 028596 NY Primary

Addresses

Primary practice location

3780 Commerce CT Ste 300
North Tonawanda, NY 14120-2025

Mailing address

924 Main St
Niagara Falls, NY 14301-1110
Phone (716) 282-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000176 NY Practitioner - Physical Therapist in Private Practice 1456444058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swiatek Physical Therapy PLLCGroup PAC ID 7113150988, 10 clinicians

Practice addresses (Care Compare)

4498 Main St
Suite 24
Amherst, NY 14226-3826
Phone (716) 839-1550

8865 Sheridan Dr
Clarence, NY 14031-1458
Phone (716) 276-3196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swiatek Physical Therapy PLLC Physical Therapist CurrentSince Jan 30, 2014 Accepting new patients
Phoenix Physical Therapy Services, P.C. Physical Therapist Past Accepting new patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist PastSince Oct 1, 2001 Accepting new patients

Locations

4498 Main St
Ste 24
Buffalo, NY 14226
Phone (716) 839-1550

8865 Sheridan Dr
Clarence, NY 14031
Phone (716) 276-3196

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1154541399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011110",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 COMMERCE CT STE 300",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202025",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KIMBERLEE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.