Individual provider Active NPI

Kimberly Jane Trepanier, P.T., C.W.S.

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1467528448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870616 Issued in DC
Practice address
3800 Reservoir Road, NW, Bles G-12
Washington, DC 20007
Phone
(202) 444-4180
Fax
(202) 444-5333
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870616 DC Primary

Addresses

Primary practice location

3800 Reservoir Road, NW, Bles G-12
Washington, DC 20007

Mailing address

2820 Lee Oaks PL Apt 102
Falls Church, VA 22046-7339
Phone (860) 485-3579

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
PT870616DCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467528448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 LEE OAKS PL APT 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220467339",
            "telephone_number": "860-485-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR ROAD, NW, BLES G-12",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-444-4180",
            "fax_number": "202-444-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPANIER",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "P.T., C.W.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • 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.