Kimberley A Malcolm

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2252 Issued in NH

Practice address

12 Kingsbury St
Keene, NH 03431-3825

Phone

(603) 352-0165

NPI assigned

Feb 28, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447387253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAIN ST # 4729",
            "city": "NORTHFIELD",
            "state": "MA",
            "postal_code": "013601050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KINGSBURY ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313825",
            "telephone_number": "603-352-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y005291NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "373100",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Macri, MALCMHC
• William M Madden
• Shawn Patrick Maguire, CRSW
• Maureen Mary Mahoney, PA
• Bethany M Malavet
• Lawrence John Malloy
• Justin A Malone
• Nathan Andrew Manlove, LICSW
• Janis O Manwaring, LICSW, LADC, LCS
• Maps Counseling Services, Inc.

• Physical Therapist in Keene, NH
• Providers in Keene, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.