Kimberly I Meyer-Pelletier

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KIMBERLY I MEYER-PELLETIER

Practice address

10 Higgins Hwy
Suite 12
Mansfield Center, CT 06250-1437

Phone

(860) 456-3772

Fax

(860) 456-4941

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Meyer-Pelletier, PT

Title

Owner

Phone

(860) 456-3772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1609979400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "SUITE 12",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-3772",
            "fax_number": "860-456-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "SUITE 12",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-3772",
            "fax_number": "860-456-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY I MEYER-PELLETIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MEYER-PELLETIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-456-3772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "080003871CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Marie Kenowski, MA, LPC
• Rachael Ann Kenowski, BSN, RN
• Kerith Brook CFC
• Vera R Killian, PT
• Killians Therapeutic Services LLC
• Haley E King, LMSW
• Jennifer King
• Mary Kinsella-Shaw, MA, LPC
• Susan Ann Knox, RN
• Emily Kokas, LPC-A

• Physical Therapy Clinic/Center in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.