Individual provider Active NPI

Kimberly Anne Gilbert, DPT

  • Physical Therapist
  • Fleetwood, PA
National Provider Identifier
1356340194
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010876-L Issued in PA
Practice address
101 S Richmond St
Fleetwood, PA 19522-1510
Phone
(610) 944-7626
Fax
(610) 944-8079
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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 PT010876-L PA Primary

Addresses

Primary practice location

101 S Richmond St
Fleetwood, PA 19522-1510

Mailing address

504 Monroe St
Birdsboro, PA 19508-2148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001241 PA Practitioner - Physical Therapist in Private Practice 0143415976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Mountain Physical Therapy LLCGroup PAC ID 4981771631, 12 clinicians

Practice addresses (Care Compare)

4740 Penn Ave
Sinking Spring, PA 19608-9672
Phone (610) 927-5183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010876-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Physical Therapy LLC CurrentSince Jun 7, 2023 Accepting new patients

Locations

1001 James Dr
Ste A14
Leesport, PA 19533
Phone (484) 671-2065

4740 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-5183

4728 Penn Ave
South Heidelberg, PA 19608
Phone (610) 927-5183

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1356340194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MONROE ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RICHMOND ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221510",
            "telephone_number": "610-944-7626",
            "fax_number": "610-944-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010876-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.