Kimberlee J Odonald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

55010081944 Issued in MI

Practice address

1330 W Washington
Greenville, MI 48838

Phone

(616) 754-7040

Fax

(616) 754-7888

NPI assigned

Jan 8, 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

Other identifiers 2

Other names 1

• Kimberlee J Pierce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kimberlee J Odonald PT PC

  • Physical Therapy Clinic/Center
  • Greenville, MI
  • NPI 1689731374
  NPD (past) Authorized official
• Center for Physical Rehabilitation Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1568416337
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1306021472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W WASHINGTON",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "48838",
            "telephone_number": "616-754-7040",
            "fax_number": "616-754-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W WASHINGTON",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "48838",
            "telephone_number": "616-754-7040",
            "fax_number": "616-754-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONALD",
        "first_name": "KIMBERLEE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "55010081944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2679020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "PIERCE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• North Kent Guidance Serivces
• North Kent Guidance Services LLC
• John C. O'Donald, D.D.S.
• Shannon Kathleen O'Keefe, PA
• Kevin T Oconnor, DO
• Olja Haglund, LMSW, LLC
• Paula Jean Ollila
• Orthopaedic Associates of Grand Rapids PC (Orthopaedic Associates of Michigan)
• David Orvis, OTR/L
• Michelle Pabst

• Physical Therapist in Greenville, MI
• Providers in Greenville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.