Active NPI
Kimberly K Cleary, PT, PHD
- Physical Therapist
- Spokane, WA
National Provider Identifier
1649574823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010125
- Practice address
- 1411 N River Vista St
Spokane, WA 99224-5674 - Phone
- (509) 290-5255
- NPI assigned
- Jan 3, 2011
- Last updated
- Jan 3, 2011
- 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 | PT00010125 | WA | Primary |
Addresses
Primary practice location
1411 N River Vista St
Spokane, WA 99224-5674
Mailing address
1411 N River Vista St
Spokane, WA 99224-5674
Phone (509) 290-5255
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010125 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1649574823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N RIVER VISTA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245674",
"telephone_number": "509-290-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N RIVER VISTA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245674",
"telephone_number": "509-290-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "KIMBERLY",
"middle_name": "K",
"credential": "PT, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.