Individual provider Active NPI

Kimberly Wilkey, DPT

  • Physical Therapist
  • Newport, RI
National Provider Identifier
1619466182
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02654 Issued in RI
Practice address
17 Memorial Blvd
Newport, RI 02840-3540
Phone
(401) 743-0231
NPI assigned
May 9, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02654 RI Primary

Addresses

Primary practice location

17 Memorial Blvd
Newport, RI 02840-3540

Mailing address

17 Memorial Blvd
Newport, RI 02840-3540
Phone (401) 743-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT02654RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Physical Therapy LLC Physical Therapist PastSince May 17, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kimberly.wilkey.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1619466182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEMORIAL BLVD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403540",
            "telephone_number": "401-743-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MEMORIAL BLVD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403540",
            "telephone_number": "401-743-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEY",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.