Jim F. Kissel, P.T. ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7200 Issued in OH

Practice address

851 S Clinton St
Defiance, OH 43512-2770

Phone

(419) 782-8808

Fax

(419) 782-8148

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• K2 PT Consultants

  • Physical Therapist
  • Naples, FL
  • NPI 1194297473
  NPD Authorized official
• Defiance Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Defiance, OH
  • NPI 1548234339

  Physical Therapist

  NPD (past) Authorized official
• K2PT LLC

  • Specialist
  • Defiance, OH
  • NPI 1679009526
  NPD (past) Authorized official
• Defiance Hospital, Inc.

  dba Defiance Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Defiance, OH
  • NPI 1629216684
  NPD (past)
• Healtherapy Partners Inc

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1568453355

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1598730244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 HARPER RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129133",
            "telephone_number": "419-782-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S CLINTON ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122770",
            "telephone_number": "419-782-8808",
            "fax_number": "419-782-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "JIM",
        "middle_name": "F.",
        "credential": "P.T.  ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT7200",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha R Kersten
• David J King, QMHS
• Troy King, CNP
• King's Way Home Health Care, LLC
• Bruce Lee Kinney, MD
• Danielle Lynn Kleman, PHARMD
• Kari Alice Powers Klinger
• Shane Aaron Klingler, DC
• Alissa Marie Knapp, LMT, NMT
• Molly Knepley, OT

• Physical Therapist in Defiance, OH
• Providers in Defiance, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.