Active NPI
Kate Russo Wilmot, PT
- Physical Therapist
- San Jose, CA
National Provider Identifier
1215954748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2258
- Practice address
- 50 Great Oaks Blvd
Kaiser Home Health
San Jose, CA 95119-1381 - Phone
- (408) 361-2100
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2258 | HI | Primary |
Addresses
Primary practice location
50 Great Oaks Blvd
Kaiser Home Health
San Jose, CA 95119-1381
Mailing address
50 Great Oaks Blvd
Kaiser Home Health
San Jose, CA 95119-1381
Phone (408) 361-2100
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 |
|---|---|---|---|
| 2258 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Sports Inc | Physical Therapist | Past | Accepting new patients |
| Kaiser Foundation Hospitals | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kaiser Foundation Hospital Ambulatory Surgery Center, Antelope Valley
- Ambulatory Surgical Clinic/Center
- Lancaster, CA
- NPI 1851169965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1215954748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 GREAT OAKS BLVD",
"address_2": "KAISER HOME HEALTH",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191381",
"telephone_number": "408-361-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GREAT OAKS BLVD",
"address_2": "KAISER HOME HEALTH",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191381",
"telephone_number": "408-361-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "KATE",
"middle_name": "RUSSO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.