Active NPI
Kimberly York, P.T.
- Physical Therapist
- Wildwood, FL
National Provider Identifier
1194963983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35543
- Practice address
- 7676 Rio Grande Blvd
Wildwood, FL 34785-4238 - Phone
- (352) 330-6281
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2272 | ME | |
| Physical Therapist | 225100000X | 35543 | FL | Primary |
Addresses
Primary practice location
7676 Rio Grande Blvd
Wildwood, FL 34785-4238
Mailing address
4450 E Windmill Dr Apt 106
Inverness, FL 34453-1570
Phone (207) 538-5030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35543 | FL | MD | Physical Therapist |
| PT2272 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1194963983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 E WINDMILL DR APT 106",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344531570",
"telephone_number": "207-538-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7676 RIO GRANDE BLVD",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347854238",
"telephone_number": "352-330-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "KIMBERLY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2272",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.