Organization Active NPI

Kimberly Fotter, PT

  • Physical Therapist
  • Francestown, NH
National Provider Identifier
1699932277
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1337 Issued in NH
Legal business name
KIMBERLY FOTTER, PT
Practice address
99 Journeys End Rd
Francestown, NH 03043-3506
Phone
(603) 547-5970
Fax
(603) 547-2227
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Kim Fotter, PT
Title
Physical Therapist/Owner
Phone
(603) 547-5970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1337 NH Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 0938 NH

Addresses

Primary practice location

99 Journeys End Rd
Francestown, NH 03043-3506

Mailing address

99 Journeys End Rd
Francestown, NH 03043-3506
Phone (603) 547-5970

Other identifiers 4

IdentifierTypeStateIssuer
3434134OtherNVCIGNA
08Y005035NH02OtherNHANTHEM
7556712OtherNHAETNA
30393167MedicaidNH

Other names 1

  • Winkin' Pony Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1699932277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JOURNEYS END RD",
            "city": "FRANCESTOWN",
            "state": "NH",
            "postal_code": "030433506",
            "telephone_number": "603-547-5970",
            "fax_number": "603-547-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JOURNEYS END RD",
            "city": "FRANCESTOWN",
            "state": "NH",
            "postal_code": "030433506",
            "telephone_number": "603-547-5970",
            "fax_number": "603-547-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY FOTTER, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "FOTTER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "603-547-5970",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1337",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "0938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3434134",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y005035NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7556712",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393167",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winkin' Pony Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Francestown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.