Kimberly Timberlake Jakubowski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22904 Issued in MD

Practice address

430 Lilly Rd NE
Olympia, WA 98506-5132

Phone

(360) 491-9700

NPI assigned

Jul 3, 2009

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 names 1

• Kimberly Jean Timberlake Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment Care Compare group NPD
• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842

  Physical Therapist

  Medicare reassignment NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684

  Physical Therapist

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Odenton, MD
  • NPI 1447129507
  NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Physical Therapist
  • Washington, DC
  • NPI 1811683923
  NPD

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1457580011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 WHEAT MILLER DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718006",
            "telephone_number": "919-605-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-491-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "KIMBERLY",
        "middle_name": "TIMBERLAKE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TIMBERLAKE",
            "middle_name": "JEAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Jacoby
• Klaus Bernhard Jade, MD
• Priscilla Kangyang Jadu, MA, CDPT
• Jessica Jahn, M.D.
• Logan Patrick Jahnke
• Mona Jalili, PHARMD
• James a Wright DPM PLLC
• James E Telloian DDS
• James Faust & Associates PLLC
• James W Ingersoll PHD Inc PS

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.