Individual provider Active NPI

Kimberly Lyn Tonick, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1275295404
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1115053 Issued in TX
Practice address
2301 Coit Rd Ste B
Plano, TX 75075-3773
Phone
(972) 599-9191
Fax
(972) 599-2323
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1115053 TX Primary

Addresses

Primary practice location

2301 Coit Rd Ste B
Plano, TX 75075-3773

Mailing address

2301 Coit Rd Ste B
Plano, TX 75075-3773
Phone (972) 599-9191

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
1115053TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centre of Physical Rehabilitation Physical Therapist CurrentSince Oct 10, 2021 Accepting new patients

Locations

2301 Coit Rd
Ste B
Plano, TX 75075
Phone (972) 599-9191

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1275295404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONICK",
        "first_name": "KIMBERLY",
        "middle_name": "LYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.