Kimberly Rene Matusevich, MPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005833 Issued in VA

Practice address

1901 S Main St
Suite 8
Blacksburg, VA 24060-6600

Phone

(540) 552-2294

Fax

(540) 552-2296

NPI assigned

Oct 11, 2005

Last updated

Apr 1, 2008By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Blacksburg

  • Rehabilitation Clinic/Center
  • Blacksburg, VA
  • NPI 1336215367

  Physical Therapist

  NPD (past)
• Cawh Rehabilitation Services, LLC.

  dba Cawh Physical Therapy

  • Physical Therapist
  • Liberty, NC
  • NPI 1649360686
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1356339642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST",
            "address_2": "SUITE 8",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606600",
            "telephone_number": "540-552-2294",
            "fax_number": "540-552-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST",
            "address_2": "SUITE 8",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606600",
            "telephone_number": "540-552-2294",
            "fax_number": "540-552-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSEVICH",
        "first_name": "KIMBERLY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00360698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "369793",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7525558",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BLACKSBURG OFFICE",
            "identifier": "106123",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brieanne Davis Matheney-Fluke, LPTA
• Matthew T. Ankrum DDS, Ms, PC
• Matthew W Glasgow DDS PC
• Benjamin Toliver Matthews, D.D.S.
• Rodger Curtis Mattson, DO
• George Edwin Mauney, R.PH.
• Donna Maxfield, MD
• Sarah Elizabeth Maxwell, NP
• Tiffany McCann, LPC
• Matthew Elias McCarthy, D.O.

• Physical Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.

Verify at the official NPI Registry.