Kimberly Joan Nicholson, PTA/LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2004-1442 Issued in WV

Practice address

230 Hospital PLZ
Weston, WV 26452-8558

Phone

(304) 269-8097

Fax

(304) 269-8187

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669587754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 3RD ST",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014645",
            "telephone_number": "304-622-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528558",
            "telephone_number": "304-269-8097",
            "fax_number": "304-269-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KIMBERLY",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "PTA/LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "000951",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2004-1442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney P. Nesselroade, R.PH.
• Christina Nicole Nicholson
• Cierrah R Nicholson
• Florence Nicholson
• Kameron Rylie Nicholson
• Melinda Joyce Orrahood, PAC
• Bennett D Orvik, M.D.
• Melissa Parker
• Joy Parks, MD
• Caroline Parrish, MOT

• Massage Therapist in Weston, WV
• Providers in Weston, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.