Kimberly E Wootton, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT003935OT Issued in GA

Practice address

345 Ridge CT
Roswell, GA 30076-2620

Phone

(770) 641-9239

Fax

(770) 641-9335

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unique Therapy Services, LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1811207707
  NPD (past)
• Excellence in Therapy, Inc.

  • Specialist
  • Roswell, GU
  • NPI 1306067418
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548396013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RIDGE CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762620",
            "telephone_number": "770-641-9239",
            "fax_number": "770-641-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 RIDGE CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762620",
            "telephone_number": "770-641-9239",
            "fax_number": "770-641-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTON",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "OT003935OT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Wood, PHYSICAL THERAPIST
• Sheila Woodall, MS
• Shirley Woods-Witcher
• Kenwanna Woods, RBT
• Madison Lee Woody, PT, DPT
• Stephanie Burst Wotiz, PT, DPT
• Christopher Campbell Wray, PHARM. D.
• Wright Physical Therapy and Wellness, LLC
• Brian Wright, DPT
• Tracy Ann Wright, P.T.

• Specialist in Roswell, GA
• Providers in Roswell, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.