Active NPI
Kimberly Melissa Wiman, PT, DPT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1346732047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044277
- Practice address
- 10705 Charter Dr Ste 420
Columbia, MD 21044-2800 - Phone
- (443) 283-2018
- NPI assigned
- May 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044277 | NY | Primary |
Addresses
Primary practice location
10705 Charter Dr Ste 420
Columbia, MD 21044-2800
Mailing address
10705 Charter Dr Ste 420
Columbia, MD 21044-2800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044277 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1346732047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10705 CHARTER DR STE 420",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10705 CHARTER DR STE 420",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442800",
"telephone_number": "443-283-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMAN",
"first_name": "KIMBERLY",
"middle_name": "MELISSA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.