Individual provider Active NPI

Kymberly L Normand, P.T.A.

  • Physical Therapy Assistant
  • Kent, WA
National Provider Identifier
1245249945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7851 Issued in OR
Practice address
24031 104TH Ave SE
Kent, WA 98030-4975
Phone
(253) 852-4956
Fax
(253) 859-5036
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7851 OR Primary

Addresses

Primary practice location

24031 104TH Ave SE
Kent, WA 98030-4975

Mailing address

24031 104TH Ave SE
Kent, WA 98030-4975
Phone (253) 852-4956

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7851ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245249945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24031 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304975",
            "telephone_number": "253-852-4956",
            "fax_number": "253-859-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24031 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304975",
            "telephone_number": "253-852-4956",
            "fax_number": "253-859-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAND",
        "first_name": "KYMBERLY",
        "middle_name": "L",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "7851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.