Kim Stacy Wilson-Gerardi, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005800 Issued in CT

Practice address

53 Old Kings Hwy N Ste 103
Darien, CT 06820-4735

Phone

(203) 656-2229

NPI assigned

Jan 8, 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 names 1

• Ms. Kim Stacy Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477601912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INWOOD RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501027",
            "telephone_number": "203-847-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OLD KINGS HWY N STE 103",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204735",
            "telephone_number": "203-656-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-GERARDI",
        "first_name": "KIM",
        "middle_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WILSON",
            "middle_name": "STACY",
            "prefix": "MS.",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert F Weiss, DPM
• Scott H Weiss, DPM
• Susan Westrup, O.D.
• Zachary Adam White, MPT
• Whole Harmony Nutrition, LLC
• Penelope Wilson, LCSW, ED.M
• Vanessa Wilson
• Cecile P Windels, MD
• Alexandra Wolfe, DMD
• Brian Thomas Wolfe, PT, DPT

• Physical Therapist in Darien, CT
• Providers in Darien, CT by specialty
• Physical Therapist in Connecticut

• 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.