Individual provider Active NPI

Kimberly Marie Erisman, P.T.

  • Orthopedic Physical Therapist
  • Overland Park, KS
National Provider Identifier
1255467254
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1103324 Issued in KS
Practice address
7279 W 105TH St
Overland Park, KS 66212-2515
Phone
(913) 642-7746
Fax
(913) 642-7745
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1103324 KS Primary

Addresses

Primary practice location

7279 W 105TH St
Overland Park, KS 66212-2515

Mailing address

7279 W 105TH St
Overland Park, KS 66212-2515
Phone (913) 642-7746

Other names 1

  • Kimberly Marie Erisman Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1255467254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746",
            "fax_number": "913-642-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746",
            "fax_number": "913-642-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERISMAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "1103324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ERISMAN",
            "middle_name": "MARIE",
            "credential": "MPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.