Kimberly Preston

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004760 Issued in MI

Practice address

5622 Deville CT
East Lansing, MI 48823-2968

Phone

(517) 214-6917

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Bay City, MI
  • NPI 1942829064
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1558736058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 DEVILLE CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232968",
            "telephone_number": "517-214-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 DEVILLE CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232968",
            "telephone_number": "517-214-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Counseling
• Preecha Supanwanid MD PC
• Preecha Supanwanid, MD PC
• Premier Counseling and Wellness Institute
• Prestige Mindsets Counseling
• Mick Allen Preston Jr., RN
• Lino Tusten Pretto, LMT
• Prevention and Training Services Inc. (PATS Inc.)
• Addison M Price, MA, CCC-SLP/L
• Elizabeth Irene Price, NP

• Physical Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.