NPIMap

Individual provider Active NPI

Kimberly A Steller, PT, DPT

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1396193801
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61717 Issued in OR
Practice address
319 Anacapa St
Santa Barbara, CA 93101-2351
Phone
(805) 898-1907
Fax
(805) 687-8121
NPI assigned
May 25, 2016
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 61717 OR Primary

Addresses

Primary practice location

319 Anacapa St
Santa Barbara, CA 93101-2351

Mailing address

319 Anacapa St
Santa Barbara, CA 93101-2351

Other practice location 1

221 Main St E
Monmouth, OR 97361
Phone (503) 838-4244

Other names 1

  • Kimberly A Williams Former name

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

LicenseStateTypeSpecialty
61717ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic PastSince Nov 2, 2018 Accepting new patients
Physical Therapy Northwest Limited Partnership Physical Therapist Past Accepting new patients
PT Northwest LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1396193801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012351",
            "telephone_number": "805-898-1907",
            "fax_number": "805-687-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Main St E",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "97361",
            "country_code": "US",
            "telephone_number": "503-838-4244",
            "fax_number": "503-838-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WILLIAMS",
            "middle_name": "A",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.