Active NPI
Kimberlee Denise Hertzfeld, P.T.
- Physical Therapist
- Toledo, OH
National Provider Identifier
1689972911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006064
- Practice address
- 3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473 - Phone
- (419) 474-3399
- Fax
- (419) 474-5165
- NPI assigned
- Mar 10, 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 | PT006064 | OH | Primary |
Addresses
Primary practice location
3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473
Mailing address
3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473
Phone (419) 474-3399
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT006064 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWG, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1689972911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-474-3399",
"fax_number": "419-474-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-474-3399",
"fax_number": "419-474-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZFELD",
"first_name": "KIMBERLEE",
"middle_name": "DENISE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT006064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.