Individual provider Active NPI

Kimberly A Maltinsky, DPT

  • Physical Therapist
  • Sidney, OH
National Provider Identifier
1356534259
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 011488 Issued in OH
Practice address
300 3Rd Ave
Sidney, OH 45365-1116
Phone
(937) 415-9100
Fax
(937) 415-9191
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 PT 011488 OH Primary

Addresses

Primary practice location

300 3Rd Ave
Sidney, OH 45365-1116

Mailing address

6551 Centerville Business Pkwy Ste 120
Centerville, OH 45459-2696
Phone (937) 415-9100

Other identifiers 1

IdentifierTypeStateIssuer
0098057MedicaidOH

Other names 1

  • Kimberly A Kennedy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000682 OH Practitioner - Physical Therapist in Private Practice 0042393878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of SW Ohio IncGroup PAC ID 9638258874, 59 clinicians

Practice addresses (Care Compare)

4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
70.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 011488OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Advantage LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

8200 Washington Village Dr
Dayton, OH 45458
Phone (937) 434-4141

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

300 3rd Ave
Sidney, OH 45365
Phone (937) 710-4786

Organizations & group practices 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1356534259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 CENTERVILLE BUSINESS PKWY STE 120",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592696",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651116",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTINSKY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 011488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KENNEDY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.