Active NPI
Kimberly Ann Wheeler, M.P.T.
- Physical Therapist
- Oaklyn, NJ
National Provider Identifier
1639129398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01028500
- Practice address
- 1103 White Horse Pike
Oaklyn, NJ 08107 - Phone
- (856) 858-9601
- Fax
- (856) 858-1363
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01028500 | NJ | Primary |
Addresses
Primary practice location
1103 White Horse Pike
Oaklyn, NJ 08107
Mailing address
16 Washington St
Gibbsboro, NJ 08026-1440
Phone (856) 346-4088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01028500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Past | Accepting new patients |
Locations
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1346246824
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1639129398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WASHINGTON ST",
"city": "GIBBSBORO",
"state": "NJ",
"postal_code": "080261440",
"telephone_number": "856-346-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 WHITE HORSE PIKE",
"city": "OAKLYN",
"state": "NJ",
"postal_code": "08107",
"telephone_number": "856-858-9601",
"fax_number": "856-858-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01028500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oaklyn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.