Individual provider Active NPI

Kimberly Louise Bianchini, P.T.

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1407076896
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8237 Issued in CT
Practice address
44 Waterbury Rd
Suite 1C
Prospect, CT 06712-1242
Phone
(203) 758-5040
Fax
(203) 758-5042
NPI assigned
Apr 26, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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 4334 AZ
Physical Therapist 225100000X 8237 CT Primary

Addresses

Primary practice location

44 Waterbury Rd
Suite 1C
Prospect, CT 06712-1242

Mailing address

PO Box 7205
Prospect, CT 06712-0205
Phone (203) 758-5040

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
4334AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1407076896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7205",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067120205",
            "telephone_number": "203-758-5040",
            "fax_number": "203-758-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WATERBURY RD",
            "address_2": "SUITE 1C",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121242",
            "telephone_number": "203-758-5040",
            "fax_number": "203-758-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHINI",
        "first_name": "KIMBERLY",
        "middle_name": "LOUISE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4334",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.