Active NPI
Kimberly Ann Cole, MSPT
- Physical Therapist
- College Place, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006939
- Practice address
- 716 S College Ave
College Place, WA 99324-1519 - Phone
- (509) 540-2862
- Fax
- (509) 527-8838
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3061 | OR | |
| Physical Therapist | 225100000X | PT00006939 | WA | Primary |
Addresses
Primary practice location
716 S College Ave
College Place, WA 99324-1519
Mailing address
708 SE 4TH St
College Place, WA 99324-1319
Phone (509) 540-2862
Other practice location 1
55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 525-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000491 | OR | Practitioner - Physical Therapist in Private Practice | 9931114469 | Reassigns benefits to 1 organization |
| I20161128002349 | WA | Practitioner - Physical Therapist in Private Practice | 9931114469 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tier 1 Therapy LLC
Practice addresses (Care Compare)
1500 Catherine St
Apt Ofc
Walla Walla, WA 99362-4181
Phone (509) 987-4316
540 NW 12TH St
Hermiston, OR 97838-9001
Phone (509) 551-8156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Oregon Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tier 1 Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Therapy Options LLC | Past | Accepting new patients | |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
301 4th St
La Grande, OR 97850
Phone (541) 963-9340
245 Van Giesen St
Bldg C
Richland, WA 99354
Phone (503) 302-1459
Organizations & group practices 4
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.
-
- Physical Therapist
- La Grande, OR
- NPI 1679907281
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
-
- Occupational Therapist
- Burbank, WA
- NPI 1679001580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1336237155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 SE 4TH ST",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241319",
"telephone_number": "509-540-2862",
"fax_number": "509-527-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 S COLLEGE AVE",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241519",
"telephone_number": "509-540-2862",
"fax_number": "509-527-8838"
}
],
"practiceLocations": [
{
"address_1": "55 W Tietan St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624445",
"country_code": "US",
"telephone_number": "509-525-3720",
"fax_number": "509-522-1593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3061",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.