Individual provider Active NPI

Kimberly Catherine Nolte, M.S.

  • Physical Therapist
  • Bridgeport, WV
National Provider Identifier
1477784239
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003081 Issued in WV
Practice address
306 W Main St
Bridgeport, WV 26330-1751
Phone
(304) 842-3137
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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 PT003081 WV Primary

Addresses

Primary practice location

306 W Main St
Bridgeport, WV 26330-1751

Mailing address

306 W Main St
Bridgeport, WV 26330-1751
Phone (304) 842-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001341 WV Practitioner - Physical Therapist in Private Practice 3779808407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Valley Physical Therapy LLCGroup PAC ID 3870499957, 57 clinicians

Practice addresses (Care Compare)

514 Beckley Crossing SHPG Ctr
Beckley, WV 25801-7110
Phone (304) 250-0428

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
71.18
Promoting interoperability
92
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT003081WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 16, 2002 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist Current Accepting new patients
Bridgeport Physical Therapy Services, Inc. Current Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Nov 7, 2022 Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Nov 7, 2022 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Past Accepting new patients

Locations

514 Beckley Crossing Shpg Ctr
Beckley, WV 25801
Phone (304) 250-0428

306 W Main St
Bridgeport, WV 26330
Phone (304) 842-3137

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1477784239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137",
            "fax_number": "304-842-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "KIMBERLY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.