Kimberly Myers Phillips

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20621 Issued in CA

Practice address

145 S Granados Ave
Solana Beach, CA 92075-2008

Phone

(858) 792-0771

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1225377906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S GRANADOS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752008",
            "telephone_number": "858-792-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S GRANADOS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752008",
            "telephone_number": "858-792-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIMBERLY",
        "middle_name": "MYERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Catherine Peters, PSY.D.
• Kristin Marie Peterson-Salgado, OD
• Kristal Peterson
• Teresa Peterson, APCC
• Angela Phillips
• Andrew Pierce, D.C.
• Leticia Cristina Gonzalez Pileski, PSYD
• Pioneer Emergency Response Services Inc.
• Nathan Pirakitikulr, MD, PHD
• Pluta Movement Therapeutics

• Physical Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.