Individual provider Active NPI

Sherry Elizabeth Kimmel, LPTA

  • Physical Therapy Assistant
  • Waynesville, NC
National Provider Identifier
1467215582
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A7055 Issued in NC
Practice address
Skyland Terrace and Rehabilitation
516 Wall Street
Waynesville, NC 28786-5973
Phone
(828) 452-3154
Fax
(828) 566-6107
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A7055 NC Primary

Addresses

Primary practice location

Skyland Terrace and Rehabilitation
516 Wall Street
Waynesville, NC 28786-5973

Mailing address

Skyland Terrace and Rehabilitation
516 Wall Street
Waynesville, NC 28786-5973
Phone (828) 452-3154

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A7055NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1467215582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SKYLAND TERRACE AND REHABILITATION",
            "address_2": "516 WALL STREET",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865973",
            "telephone_number": "828-452-3154",
            "fax_number": "828-566-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SKYLAND TERRACE AND REHABILITATION",
            "address_2": "516 WALL STREET",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865973",
            "telephone_number": "828-452-3154",
            "fax_number": "828-566-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "SHERRY",
        "middle_name": "ELIZABETH",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.