Active NPI
Kimberly Catherine Nolte, M.S.
- Physical Therapist
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003081
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT003081 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Physical Therapy Services, Inc. | Physical Therapist | Current | 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 | Current | Accepting new patients | |
| Greenbrier Valley Physical Therapy LLC | Current | 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.
-
- Physical Therapist
- Lewisburg, WV
- NPI 1619260353
-
- Physical Therapist
- Bridgeport, WV
- NPI 1588146658
-
- Specialist
- Princeton, WV
- NPI 1447932744
-
- Specialist
- Oak Hill, WV
- NPI 1730809864
-
- Specialist
- Ronceverte, WV
- NPI 1407946932
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.