Kimberly Ann Rainey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29142 Issued in CA

Practice address

645 E State St Ste 101
Eagle, ID 83616-5915

Phone

(208) 939-9594

Fax

(208) 939-9828

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Elijo Pilates and Physical Therapy, Inc

  dba Pilates and Beyond Physical Therapy

  • Physical Therapist
  • Encinitas, CA
  • NPI 1942591904
  NPD Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1265689251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165915",
            "telephone_number": "208-939-9594",
            "fax_number": "208-939-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E STATE ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165915",
            "telephone_number": "208-939-9594",
            "fax_number": "208-939-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 S Millenium Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426457",
            "country_code": "US",
            "telephone_number": "208-884-4647",
            "fax_number": "208-884-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1673 W Shoreline Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026752",
            "country_code": "US",
            "telephone_number": "208-343-4700",
            "fax_number": "208-343-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Purcell
• Purpose Driven Chiropractic PC
• Christian Putegnat
• Jennifer Pyette, COTA/L
• Christine Marie Radsma, LM, CPM
• Renae Ramos, PA-C
• Rebecca L Rand, LCSW
• Jordan Lee Rausch, CGC
• Reach Primary Care LLC (Reach TeleMed)
• Reach the Summit Language and Literacy Clinic, LLC

• Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.